Medicaid Provider Spending

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

CANYON PRIMARY CARE LLC

NPI: 1295341550 · KAILUA, HI 96734 · Family Medicine Physician · NPI assigned 09/21/2020

$161.93
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2024-05
First Month
2024-05
Last Month

Provider Details

Authorized OfficialCANYON, SARAH (OWNER)
NPI Enumeration Date09/21/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 12 $161.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $161.93