HONOLULU IMAGING CENTER, LLC
NPI: 1164094108
· HONOLULU, HI 96814
· 2085R0202X
$1.14M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$3K |
| 2022 |
371 |
$128K |
| 2023 |
957 |
$393K |
| 2024 |
1,450 |
$618K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
|
802 |
698 |
$607K |
| A9552 |
F18 fdg |
786 |
695 |
$250K |
| 73721 |
|
613 |
530 |
$160K |
| 70553 |
|
136 |
89 |
$56K |
| 73221 |
|
125 |
108 |
$27K |
| A9596 |
Gallium illuccix 1 millicure |
13 |
12 |
$26K |
| 72148 |
|
89 |
54 |
$14K |
| 71046 |
|
72 |
69 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
94 |
67 |
$784.08 |
| 76705 |
|
17 |
14 |
$650.32 |
| S9999 |
Sales tax |
44 |
40 |
$0.00 |