NPI: 1356341002 · HONOLULU, HI 96817 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,947 | $22K |
| 2019 | 4,826 | $30K |
| 2020 | 2,645 | $20K |
| 2021 | 3,120 | $21K |
| 2022 | 3,755 | $28K |
| 2023 | 4,340 | $28K |
| 2024 | 2,772 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,218 | 3,941 | $88K | |
| 99214 | 3,001 | 2,265 | $65K | |
| 99401 | 770 | 531 | $6K | |
| G0439 | Ppps, subseq visit | 290 | 231 | $3K |
| 99497 | 167 | 140 | $1K | |
| 99422 | 639 | 454 | $1K | |
| 99072 | 626 | 493 | $962.97 | |
| 99421 | 330 | 231 | $704.21 | |
| 99397 | 48 | 47 | $579.12 | |
| 3074F | 3,311 | 2,517 | $293.43 | |
| S9999 | Sales tax | 1,591 | 1,079 | $182.16 |
| 1160F | 224 | 190 | $177.81 | |
| 96127 | 695 | 618 | $152.91 | |
| 99423 | 64 | 43 | $145.72 | |
| 1158F | 27 | 26 | $116.42 | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 34 | 32 | $112.66 |
| G0406 | Inpt/tele follow up 15 | 23 | 16 | $40.73 |
| 3078F | 2,346 | 1,808 | $0.60 | |
| 3079F | 1,192 | 982 | $0.49 | |
| 1159F | 315 | 193 | $0.05 | |
| 1170F | 220 | 187 | $0.03 | |
| 3075F | 74 | 67 | $0.03 | |
| 3044F | 177 | 156 | $0.01 | |
| 3725F | 743 | 650 | $0.00 | |
| G0444 | Depression screen annual | 53 | 52 | $0.00 |
| 3008F | 1,823 | 1,362 | $0.00 | |
| 3048F | 65 | 59 | $0.00 | |
| 1126F | 30 | 26 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 663 | 563 | $0.00 |
| G9903 | Pt scrn tbco id as non user | 531 | 436 | $0.00 |
| G9275 | Doc of non tobacco user | 40 | 38 | $0.00 |
| 1125F | 61 | 52 | $0.00 | |
| Q2035 | Afluria vacc, 3 yrs & >, im | 14 | 13 | $0.00 |