NPI: 1215177910 · WAIPAHU, HI 96797 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $369.96 |
| 2019 | 38 | $426.67 |
| 2020 | 69 | $896.40 |
| 2021 | 886 | $206.96 |
| 2022 | 350 | $261.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 221 | 215 | $986.00 | |
| 90686 | 103 | 103 | $945.67 | |
| G2023 | Specimen collect covid-19 | 16 | 13 | $185.80 |
| 0001A | 367 | 366 | $43.68 | |
| 0004A | 55 | 55 | $0.00 | |
| 0002A | 354 | 353 | $0.00 | |
| 0053A | 38 | 38 | $0.00 | |
| 0054A | 79 | 78 | $0.00 | |
| 0124A | 58 | 58 | $0.00 | |
| 0003A | 16 | 16 | $0.00 | |
| 90674 | 18 | 18 | $0.00 | |
| 0012A | 14 | 14 | $0.00 | |
| 0011A | 18 | 18 | $0.00 | |
| 0051A | 12 | 12 | $0.00 |