NPI: 1487948022 · HILO, HI 96720 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 274 | $3K |
| 2019 | 148 | $1K |
| 2020 | 184 | $2K |
| 2021 | 537 | $12K |
| 2022 | 192 | $4K |
| 2023 | 144 | $4K |
| 2024 | 206 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 638 | 631 | $7K | |
| 90686 | 350 | 350 | $6K | |
| 91322 | 51 | 51 | $5K | |
| 0064A | 98 | 98 | $4K | |
| 0012A | 99 | 99 | $4K | |
| 0011A | 67 | 67 | $2K | |
| 90674 | 99 | 99 | $2K | |
| 90480 | 51 | 51 | $2K | |
| 0134A | 12 | 12 | $519.84 | |
| 90656 | 28 | 28 | $445.80 | |
| 90661 | 23 | 23 | $418.92 | |
| S9430 | Pharmacy comp/disp serv | 124 | 110 | $0.00 |
| 90685 | 30 | 30 | $0.00 | |
| 90620 | 15 | 15 | $0.00 |