NPI: 1407089808 · AIEA, HI 96701 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,460 | $21K |
| 2019 | 1,177 | $15K |
| 2020 | 636 | $3K |
| 2021 | 1,132 | $2K |
| 2022 | 1,374 | $3K |
| 2023 | 1,089 | $5K |
| 2024 | 1,039 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 635 | 584 | $13K | |
| 99213 | 917 | 844 | $12K | |
| S0302 | Completed epsdt | 340 | 327 | $10K |
| 99393 | 418 | 409 | $8K | |
| 99392 | 243 | 237 | $7K | |
| 99391 | 161 | 142 | $4K | |
| 99072 | 2,419 | 2,019 | $3K | |
| 90480 | 87 | 84 | $2K | |
| 99211 | 216 | 213 | $887.33 | |
| 90460 | 112 | 110 | $839.36 | |
| 99401 | 415 | 391 | $630.09 | |
| 0124A | 15 | 15 | $606.48 | |
| 0071A | 14 | 14 | $436.80 | |
| 0072A | 14 | 14 | $375.65 | |
| 90686 | 625 | 570 | $225.08 | |
| 90707 | 12 | 12 | $76.19 | |
| 90688 | 243 | 238 | $53.52 | |
| 99173 | 483 | 465 | $31.80 | |
| 90656 | 57 | 57 | $22.20 | |
| 90687 | 30 | 29 | $9.40 | |
| 96127 | 42 | 42 | $5.26 | |
| 81002 | 14 | 12 | $3.48 | |
| 91307 | 81 | 58 | $0.01 | |
| 90670 | 26 | 24 | $0.00 | |
| 90685 | 31 | 29 | $0.00 | |
| 90672 | 41 | 40 | $0.00 | |
| 90633 | 14 | 14 | $0.00 | |
| 91308 | 28 | 25 | $0.00 | |
| 91312 | 15 | 15 | $0.00 | |
| 90660 | 42 | 42 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 12 | 12 | $0.00 |
| 96110 | 26 | 19 | $0.00 | |
| 1036F | 12 | 12 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 67 | 67 | $0.00 |