Medicaid Provider Spending

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

KAHALA PEDIATRICS, LLC

NPI: 1457477010 · HONOLULU, HI 96816 · Specialist · NPI assigned 03/22/2007

$5K
Total Medicaid Paid
219
Total Claims
218
Beneficiaries
2
Codes Billed
2018-04
First Month
2022-03
Last Month

Provider Details

Authorized OfficialDEZZANI, SCOTT (MANAGER)
NPI Enumeration Date03/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 177 $5K
2019 25 $14.20
2022 17 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99239 Hospital discharge day management, more than 30 minutes 80 80 $5K
S9999 Sales tax 139 138 $14.21