KIHEI-WAILEA MEDICAL CENTER. LLC
NPI: 1255475752
· KIHEI, HI 96753
· 174400000X
$177K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,239 |
$28K |
| 2019 |
1,713 |
$31K |
| 2020 |
1,409 |
$10K |
| 2021 |
2,842 |
$9K |
| 2022 |
3,245 |
$18K |
| 2023 |
2,574 |
$41K |
| 2024 |
2,072 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
7,031 |
6,183 |
$108K |
| 99214 |
|
1,854 |
1,509 |
$48K |
| 99072 |
|
6,285 |
5,238 |
$19K |
| 97802 |
|
140 |
130 |
$1K |
| S9088 |
Services provided in urgent |
174 |
159 |
$840.00 |
| 99393 |
|
26 |
26 |
$240.00 |
| 87804 |
|
14 |
13 |
$62.72 |
| G8510 |
Scr dep neg, no plan reqd |
241 |
212 |
$0.00 |
| G9275 |
Doc of non tobacco user |
47 |
43 |
$0.00 |
| 1036F |
|
81 |
70 |
$0.00 |
| 3074F |
|
49 |
40 |
$0.00 |
| G9459 |
Tob non-user |
12 |
12 |
$0.00 |
| 3725F |
|
83 |
81 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 99203 |
|
15 |
14 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 99394 |
|
14 |
14 |
$0.00 |