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MARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC
MARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC
NPI: 1386944437
· WAIPAHU, HI 96797
· 261QM2500X
$242K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,061 |
$27K |
| 2019 |
5,224 |
$25K |
| 2020 |
3,880 |
$19K |
| 2021 |
5,306 |
$35K |
| 2022 |
6,534 |
$49K |
| 2023 |
5,250 |
$39K |
| 2024 |
3,975 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,673 |
6,082 |
$127K |
| 99214 |
|
1,733 |
1,665 |
$61K |
| 99212 |
|
1,987 |
1,861 |
$24K |
| 80061 |
|
3,406 |
3,350 |
$13K |
| 90688 |
|
416 |
407 |
$3K |
| 90756 |
|
300 |
298 |
$3K |
| 90471 |
|
292 |
291 |
$2K |
| 83036 |
|
697 |
682 |
$2K |
| 99397 |
|
196 |
195 |
$2K |
| 82947 |
|
1,309 |
1,288 |
$1K |
| 87804 |
|
140 |
70 |
$1K |
| G2211 |
Complex e/m visit add on |
227 |
212 |
$840.64 |
| 87880 |
|
84 |
84 |
$647.63 |
| G0439 |
Ppps, subseq visit |
244 |
241 |
$388.23 |
| G0008 |
Admin influenza virus vac |
339 |
332 |
$324.81 |
| 99441 |
|
22 |
20 |
$176.91 |
| G9275 |
Doc of non tobacco user |
6,328 |
5,370 |
$79.89 |
| 93000 |
|
12 |
12 |
$56.80 |
| 3078F |
|
2,763 |
2,600 |
$24.49 |
| G0444 |
Depression screen annual |
68 |
67 |
$0.30 |
| 1159F |
|
1,338 |
1,231 |
$0.00 |
| 1160F |
|
1,405 |
1,286 |
$0.00 |
| 4040F |
|
286 |
271 |
$0.00 |
| 3288F |
|
517 |
495 |
$0.00 |
| 4274F |
|
157 |
146 |
$0.00 |
| 2022F |
|
30 |
30 |
$0.00 |
| 3044F |
|
193 |
188 |
$0.00 |
| 1157F |
|
422 |
415 |
$0.00 |
| 3075F |
|
1,377 |
1,341 |
$0.00 |
| 1125F |
|
63 |
61 |
$0.00 |
| 3074F |
|
1,886 |
1,790 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,206 |
1,173 |
$0.00 |
| 1126F |
|
190 |
186 |
$0.00 |
| 4010F |
|
78 |
78 |
$0.00 |
| 3017F |
|
48 |
47 |
$0.00 |
| 1170F |
|
540 |
520 |
$0.00 |
| 3079F |
|
149 |
147 |
$0.00 |
| 4037F |
|
30 |
28 |
$0.00 |
| 1123F |
|
67 |
65 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |