INNOVATION MD LLC
NPI: 1225352966
· KANEOHE, HI 96744
· Family Medicine Physician
· NPI assigned 03/24/2010
$363K
Total Medicaid Paid
Provider Details
| Authorized Official | SAMSAMI, ELIZABETH (MEDICAL OFFICE MANAGER) |
| NPI Enumeration Date | 03/24/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,768 |
$67K |
| 2019 |
1,564 |
$62K |
| 2020 |
1,837 |
$48K |
| 2021 |
972 |
$44K |
| 2022 |
948 |
$65K |
| 2023 |
872 |
$58K |
| 2024 |
302 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,079 |
2,474 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,794 |
3,130 |
$165K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
120 |
$2K |
| 99401 |
|
63 |
56 |
$2K |
| 86580 |
|
14 |
12 |
$89.84 |
| 99072 |
|
59 |
50 |
$18.03 |
| 3008F |
|
730 |
563 |
$0.00 |
| 3080F |
|
72 |
55 |
$0.00 |
| S9999 |
Sales tax |
257 |
197 |
$0.00 |
| 3077F |
|
69 |
55 |
$0.00 |