COMMUNITY CLINIC OF MAUI, INC.
NPI: 1437758190
· WAILUKU, HI 96793
· Multi-Specialty Clinic/Center
· NPI assigned 10/22/2020
$4.78M
Total Medicaid Paid
Provider Details
| Authorized Official | OTT, BETTY (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | COMMUNITY CLINIC OF MAUI, INC. |
| NPI Enumeration Date | 10/22/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
777 |
$243K |
| 2021 |
2,099 |
$667K |
| 2022 |
2,517 |
$816K |
| 2023 |
4,771 |
$1.61M |
| 2024 |
4,103 |
$1.44M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
9,649 |
9,289 |
$3.20M |
| D0140 |
Limited oral evaluation - problem focused |
4,618 |
4,371 |
$1.58M |