NPI: 1366823114 · HONOLULU, HI 96814 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 512 | $1.09M |
| 2019 | 655 | $1.28M |
| 2020 | 835 | $1.80M |
| 2021 | 1,575 | $3.11M |
| 2022 | 1,708 | $4.39M |
| 2023 | 2,051 | $6.28M |
| 2024 | 2,048 | $7.36M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J3490 | Drugs unclassified injection | 7,315 | 6,705 | $24.23M |
| J3031 | Inj., fremanezumab-vfrm 1 mg | 1,452 | 1,362 | $1.03M |
| E0603 | Electric breast pump | 261 | 245 | $56K |
| A9274 | Ext amb insulin delivery sys | 15 | 12 | $3K |
| 0001A | 139 | 138 | $0.00 | |
| 0054A | 18 | 18 | $0.00 | |
| 0002A | 156 | 155 | $0.00 | |
| 0004A | 28 | 28 | $0.00 |