Medicaid Provider Spending

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

ISLAND CHOICE MEDICAL SUPPLY LLC

NPI: 1336999697 · EWA BEACH, HI 96706 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/26/2024

$2K
Total Medicaid Paid
156
Total Claims
145
Beneficiaries
3
Codes Billed
2024-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUMANGLAG, JERWIN (OWNER)
NPI Enumeration Date03/26/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 156 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4541 Incontinence product, disposable underpad, large, each 70 68 $1K
A4927 Gloves, non-sterile, per 100 69 65 $682.00
A4335 Incontinence supply; miscellaneous 17 12 $40.00