MOLOKAI GENERAL HOSPITAL
NPI: 1235515396
· KAUNAKAKAI, HI 96748
· 261QR1300X
$3.06M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,071 |
$479K |
| 2019 |
3,854 |
$302K |
| 2020 |
2,130 |
$291K |
| 2021 |
2,062 |
$405K |
| 2022 |
2,207 |
$471K |
| 2023 |
5,307 |
$557K |
| 2024 |
6,597 |
$554K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
11,842 |
9,771 |
$2.12M |
| 99214 |
|
2,085 |
1,828 |
$358K |
| 99212 |
|
2,643 |
1,946 |
$357K |
| S5170 |
Homedelivered prepared meal |
309 |
308 |
$88K |
| 99391 |
|
337 |
299 |
$70K |
| 99392 |
|
170 |
141 |
$30K |
| G0101 |
Ca screen;pelvic/breast exam |
122 |
101 |
$12K |
| 99394 |
|
53 |
49 |
$9K |
| 99441 |
|
31 |
27 |
$7K |
| 99393 |
|
14 |
12 |
$3K |
| 99211 |
|
193 |
185 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
163 |
153 |
$870.28 |
| 90471 |
|
112 |
84 |
$320.62 |
| 96372 |
|
115 |
106 |
$256.60 |
| 90460 |
|
52 |
40 |
$213.52 |
| 90686 |
|
39 |
28 |
$172.11 |
| G8427 |
Docrev cur meds by elig clin |
96 |
84 |
$0.00 |
| 3078F |
|
2,601 |
2,251 |
$0.00 |
| 1160F |
|
108 |
96 |
$0.00 |
| S4993 |
Contraceptive pills for bc |
19 |
14 |
$0.00 |
| 1126F |
|
900 |
795 |
$0.00 |
| 3074F |
|
2,908 |
2,518 |
$0.00 |
| 3079F |
|
271 |
236 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 3044F |
|
32 |
27 |
$0.00 |