MATSUMOTO, KEITH
NPI: 1366858953
· HONOLULU, HI 96826
· Pediatrics Physician
· NPI assigned 07/03/2014
$238.64
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$0.00 |
| 2019 |
13 |
$0.00 |
| 2020 |
38 |
$238.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
48 |
$238.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |