Medicaid Provider Spending

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

PERLITA BOLOSAN LAMPITOC MD INC

NPI: 1306598065 · WAIPAHU, HI 96797 · Health Service Clinic/Center · NPI assigned 01/24/2022

$35K
Total Medicaid Paid
831
Total Claims
710
Beneficiaries
4
Codes Billed
2022-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMAMPITOC, PERLITA (PRESIDENT)
NPI Enumeration Date01/24/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 151 $6K
2023 408 $18K
2024 272 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 441 361 $30K
99401 312 277 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 47 43 $385.88
90686 31 29 $15.06