NPI: 1184093254 · HONOLULU, HI 96814 · 251E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,141 | $454K |
| 2020 | 6,878 | $656K |
| 2021 | 2,394 | $274K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9122 | Home health aide or certifie | 4,187 | 220 | $383K |
| S5130 | Homaker service nos per 15m | 6,769 | 524 | $383K |
| H2021 | Com wrap-around sv, 15 min | 663 | 111 | $327K |
| S5125 | Attendant care service /15m | 1,143 | 55 | $174K |
| S9123 | Nursing care in home rn | 423 | 39 | $101K |
| H2015 | Comp comm supp svc, 15 min | 173 | 33 | $10K |
| T2025 | Waiver service, nos | 55 | 14 | $5K |