Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FIVE MOUNTAINS HAWAII, INC

NPI: 1215359989 · KAMUELA, HI 96743 · Clinical Psychologist · NPI assigned 01/14/2014

$1.65M
Total Medicaid Paid
15,620
Total Claims
12,576
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKEALOHA-BEAUDET, CLAREN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date01/14/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,843 6,435 $890K
90834 Psychotherapy, 45 minutes with patient 2,395 1,582 $326K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,058 1,695 $223K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,321 1,134 $150K
90847 Family psychotherapy with the patient present, 50 minutes 522 445 $41K
99205 Prolong outpt/office vis 80 76 $12K
90832 Psychotherapy, 30 minutes with patient 111 77 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 27 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 17 16 $316.85
G2252 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion 18 13 $23.19
3074F 694 608 $0.01
3078F 503 438 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 30 30 $0.00