FIVE MOUNTAINS HAWAII, INC
NPI: 1215359989
· KAMUELA, HI 96743
· 103TC0700X
$1.65M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,256 |
$226K |
| 2019 |
1,979 |
$182K |
| 2020 |
672 |
$103K |
| 2021 |
1,586 |
$260K |
| 2022 |
2,032 |
$332K |
| 2023 |
3,087 |
$339K |
| 2024 |
3,008 |
$209K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,843 |
6,435 |
$890K |
| 90834 |
|
2,395 |
1,582 |
$326K |
| 90833 |
|
2,058 |
1,695 |
$223K |
| 99213 |
|
1,321 |
1,134 |
$150K |
| 90847 |
|
522 |
445 |
$41K |
| 99205 |
Prolong outpt/office vis |
80 |
76 |
$12K |
| 90832 |
|
111 |
77 |
$7K |
| 99204 |
|
28 |
27 |
$1K |
| G2025 |
Dis site tele svcs rhc/fqhc |
17 |
16 |
$316.85 |
| G2252 |
Brief chkin by md/qhp, 11-20 |
18 |
13 |
$23.19 |
| 3074F |
|
694 |
608 |
$0.01 |
| 3078F |
|
503 |
438 |
$0.00 |
| G9717 |
Doc pt dx bipol |
30 |
30 |
$0.00 |