NPI: 1366162588 · HILO, HI 96720 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 987 | $19K |
| 2024 | 15,305 | $3.29M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 3,388 | 260 | $3.18M | |
| Q4081 | Epoetin alfa, 100 units esrd | 1,788 | 188 | $117K |
| J1756 | Iron sucrose injection | 647 | 139 | $13K |
| 84100 | 117 | 101 | $0.00 | |
| 84155 | 134 | 119 | $0.00 | |
| 84466 | 151 | 131 | $0.00 | |
| 82565 | 113 | 100 | $0.00 | |
| 83540 | 151 | 131 | $0.00 | |
| 84450 | 210 | 193 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 2,326 | 181 | $0.00 |
| 84520 | 252 | 101 | $0.00 | |
| 82310 | 155 | 131 | $0.00 | |
| 85014 | 42 | 28 | $0.00 | |
| 83970 | 52 | 42 | $0.00 | |
| 82374 | 16 | 15 | $0.00 | |
| 90661 | 15 | 14 | $0.00 | |
| 84295 | 16 | 15 | $0.00 | |
| 85025 | 152 | 131 | $0.00 | |
| 84075 | 134 | 119 | $0.00 | |
| 87340 | 75 | 58 | $0.00 | |
| A4657 | Syringe w/wo needle | 5,733 | 270 | $0.00 |
| 86706 | 52 | 40 | $0.00 | |
| 80051 | 96 | 86 | $0.00 | |
| 85018 | 63 | 45 | $0.00 | |
| 83036 | 15 | 13 | $0.00 | |
| 82040 | 111 | 100 | $0.00 | |
| 80069 | 14 | 12 | $0.00 | |
| 82435 | 16 | 15 | $0.00 | |
| 82728 | 55 | 42 | $0.00 | |
| 82607 | 38 | 28 | $0.00 | |
| 82306 | 38 | 28 | $0.00 | |
| 82746 | 38 | 28 | $0.00 | |
| 83735 | 38 | 28 | $0.00 | |
| J3490 | Drugs unclassified injection | 16 | 16 | $0.00 |
| G0008 | Admin influenza virus vac | 16 | 15 | $0.00 |
| 84132 | 19 | 15 | $0.00 |