NPI: 1346282167 · WAHIAWA, HI 96786 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27 | $421.14 |
| 2019 | 68 | $626.99 |
| 2020 | 145 | $1K |
| 2021 | 1,976 | $62K |
| 2022 | 468 | $13K |
| 2023 | 192 | $6K |
| 2024 | 213 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 742 | 742 | $28K | |
| 0001A | 676 | 676 | $23K | |
| 90471 | 634 | 619 | $7K | |
| 91320 | 67 | 67 | $6K | |
| 90686 | 295 | 294 | $5K | |
| 0004A | 118 | 118 | $4K | |
| 0054A | 92 | 92 | $4K | |
| 0072A | 84 | 84 | $3K | |
| 0071A | 79 | 79 | $3K | |
| 90480 | 67 | 67 | $3K | |
| 0124A | 52 | 52 | $2K | |
| 90674 | 56 | 56 | $1K | |
| 90661 | 25 | 25 | $802.93 | |
| 90656 | 30 | 30 | $311.70 | |
| 90472 | 16 | 13 | $79.36 | |
| S9430 | Pharmacy comp/disp serv | 56 | 39 | $0.00 |