Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INTELERETINA PROFESSIONAL GROUP LLC

NPI: 1407347602 · HONOLULU, HI 96814 · Retina Specialist (Ophthalmology) Physician · NPI assigned 05/23/2018

$2K
Total Medicaid Paid
91
Total Claims
86
Beneficiaries
1
Codes Billed
2019-08
First Month
2020-12
Last Month

Provider Details

Authorized OfficialHANNUM, ERIC (PRESIDENT)
NPI Enumeration Date05/23/2018

Related Entities

Other providers sharing the same authorized official: HANNUM, ERIC

ProviderCityStateTotal Paid
PACIFIC MOBILE IMAGING LLC HONOLULU HI $287K
INSIGHT EEG LLC HONOLULU HI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 65 $1K
2020 26 $776.98

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92250 91 86 $2K