HOSANNA LLC
NPI: 1376661520
· KEALAKEKUA, HI 96750
· Family Medicine Physician
· NPI assigned 03/27/2007
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | ARTHURS, DAVID (OWNER) |
| NPI Enumeration Date | 03/27/2007 |
Related Entities
Other providers sharing the same authorized official: ARTHURS, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,658 |
$25K |
| 2019 |
1,500 |
$37K |
| 2020 |
614 |
$12K |
| 2021 |
950 |
$16K |
| 2022 |
1,330 |
$16K |
| 2023 |
857 |
$9K |
| 2024 |
649 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,552 |
3,799 |
$92K |
| 99215 |
Prolong outpt/office vis |
384 |
331 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,307 |
1,189 |
$13K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
27 |
27 |
$880.00 |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$343.02 |
| 99406 |
|
63 |
56 |
$239.67 |
| 97803 |
|
12 |
12 |
$72.51 |
| 3725F |
|
159 |
143 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
17 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
591 |
507 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
406 |
362 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |