Medicaid Provider Spending

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

SAMUEL MAHELONA MEMORIAL HOSPITAL

NPI: 1326634569 · KALAHEO, HI 96741 · 261Q00000X

$90K

Total Medicaid Paid

2,204

Total Claims

1,872

Beneficiaries

13

Codes Billed

2021-05

First Month

2024-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	529	$8K
2022	474	$16K
2023	685	$34K
2024	516	$32K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99213		816	736	$43K
99214		228	208	$25K
99391		261	190	$15K
99392		27	27	$3K
90460		568	472	$2K
99212		35	34	$1K
99441		38	33	$885.16
90461		107	77	$95.06
99173		42	42	$14.46
90670		23	14	$0.00
90680		21	12	$0.00
90686		17	15	$0.00
90698		21	12	$0.00