PALI MOMI MEDICAL CENTER
NPI: 1275588329
· AIEA, HI 96701
· 261QM1300X
$598K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,521 |
$65K |
| 2019 |
1,355 |
$48K |
| 2020 |
564 |
$19K |
| 2021 |
2,389 |
$81K |
| 2022 |
5,519 |
$206K |
| 2023 |
2,950 |
$102K |
| 2024 |
1,737 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,090 |
5,699 |
$224K |
| 99214 |
|
2,863 |
2,655 |
$144K |
| 93306 |
|
2,030 |
1,963 |
$76K |
| 97803 |
|
1,828 |
1,709 |
$61K |
| 99215 |
Prolong outpt/office vis |
398 |
379 |
$30K |
| 95913 |
|
86 |
77 |
$15K |
| 95886 |
|
98 |
90 |
$13K |
| 99204 |
|
130 |
128 |
$13K |
| 99244 |
|
105 |
102 |
$13K |
| 93010 |
|
1,017 |
804 |
$6K |
| 99212 |
|
41 |
37 |
$1K |
| G2211 |
Complex e/m visit add on |
105 |
93 |
$679.52 |
| 99223 |
Prolong inpt eval add15 m |
15 |
12 |
$676.88 |
| 99442 |
|
13 |
13 |
$432.80 |
| 78452 |
|
13 |
12 |
$295.12 |
| 81001 |
|
31 |
27 |
$37.63 |
| 1159F |
|
482 |
423 |
$0.00 |
| 1160F |
|
482 |
423 |
$0.00 |
| 1126F |
|
183 |
157 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
13 |
12 |
$0.00 |