Medicaid Provider Spending

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

KOOLAU RADIOLOGY, INC

NPI: 1427006147 · HONOLULU, HI 96813 · Diagnostic Radiology Physician · NPI assigned 05/05/2006

$27K
Total Medicaid Paid
1,863
Total Claims
1,695
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialDE JOURNETT, RICHARD (PRESIDENT)
NPI Enumeration Date05/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,171 $24K
2019 652 $3K
2020 40 $59.36

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76700 Ultrasound, abdominal, real time with image documentation; complete 274 237 $18K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 16 16 $3K
71046 Radiologic examination, chest; 2 views 162 126 $2K
76770 17 16 $1K
S9999 Sales tax 1,310 1,226 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 84 74 $734.60