Medicaid Provider Spending

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

KONA AMBULATORY SURGERY CENTER LLC

NPI: 1336378033 · KAILUA KONA, HI 96740 · Ambulatory Surgical Clinic/Center · NPI assigned 07/02/2009

$798.03
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2022-06
First Month
2022-06
Last Month

Provider Details

Authorized OfficialOKA, LORELI (MEDICAL DIRECTOR)
NPI Enumeration Date07/02/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 13 $798.03

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 13 $798.03