NPI: 1184700353 · EWA BEACH, HI 96706 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,027 | $40K |
| 2019 | 7,021 | $37K |
| 2020 | 3,566 | $24K |
| 2021 | 3,174 | $30K |
| 2022 | 3,946 | $38K |
| 2023 | 4,311 | $34K |
| 2024 | 3,883 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 7,189 | 5,777 | $136K | |
| 99214 | 2,774 | 2,390 | $87K | |
| 90688 | 317 | 279 | $2K | |
| G0439 | Ppps, subseq visit | 187 | 160 | $1K |
| 99496 | 27 | 25 | $875.99 | |
| G0008 | Admin influenza virus vac | 193 | 175 | $714.29 |
| 99406 | 49 | 43 | $252.40 | |
| 90471 | 24 | 20 | $127.17 | |
| 99211 | 51 | 50 | $73.87 | |
| 86580 | 32 | 25 | $73.56 | |
| 99072 | 20 | 17 | $18.03 | |
| 90472 | 53 | 46 | $14.91 | |
| 3008F | 7,318 | 5,825 | $2.74 | |
| 3078F | 1,706 | 1,419 | $0.92 | |
| 3077F | 1,093 | 897 | $0.72 | |
| 3074F | 1,117 | 968 | $0.52 | |
| 3079F | 629 | 559 | $0.37 | |
| 3075F | 297 | 262 | $0.25 | |
| 1170F | 256 | 215 | $0.23 | |
| 1160F | 248 | 215 | $0.19 | |
| 1159F | 247 | 213 | $0.19 | |
| 3080F | 89 | 80 | $0.12 | |
| G0406 | Inpt/tele follow up 15 | 87 | 72 | $0.08 |
| 1125F | 91 | 81 | $0.06 | |
| 3725F | 299 | 261 | $0.06 | |
| 4010F | 76 | 73 | $0.05 | |
| 2000F | 8,041 | 6,346 | $0.04 | |
| 3066F | 51 | 51 | $0.04 | |
| 1111F | 48 | 40 | $0.02 | |
| 1126F | 13 | 13 | $0.01 | |
| 1036F | 146 | 139 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 601 | 549 | $0.00 |
| G9275 | Doc of non tobacco user | 35 | 35 | $0.00 |
| 1101F | 100 | 92 | $0.00 | |
| S9999 | Sales tax | 351 | 271 | $0.00 |
| 1494F | 73 | 67 | $0.00 |