Medicaid Provider Spending

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

SAMUEL MAHELONA MEMORIAL HOSPITAL

NPI: 1508452756 · KAPAA, HI 96746 · Clinic/Center · NPI assigned 12/11/2020

$29K
Total Medicaid Paid
1,041
Total Claims
947
Beneficiaries
7
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialASATO, CHRISTINE (REGIONAL CFO)
Parent OrganizationSAMUEL MAHELONA MEMORIAL HOSPITAL
NPI Enumeration Date12/11/2020

Related Entities

Other providers sharing the same authorized official: ASATO, CHRISTINE

ProviderCityStateTotal Paid
KAUAI VETERANS MEMORIAL HOSPITAL WAIMEA HI $6.22M
SAMUEL MAHELONA MEMORIAL HOSPITAL WAIMEA HI $397K
SAMUEL MAHELONA MEMORIAL HOSPITAL KOLOA HI $342K
KAUAI VETERANS MEMORIAL HOSPITAL WAIMEA HI $294K
SAMUEL MAHELONA MEMORIAL HOSPITAL KALAHEO HI $90K
SAMUEL MAHELONA MEMORIAL HOSPITAL KALAHEO HI $20K
SAMUEL MAHELONA MEMORIAL HOSPITAL KAPAA HI $9K
SAMUEL MAHELONA MEMORIAL HOSPITAL ELEELE HI $585.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 834 $15K
2022 53 $700.52
2023 69 $5K
2024 85 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 132 92 $10K
0001A 191 184 $7K
0002A 161 158 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55 51 $4K
80305 130 117 $1K
91300 264 239 $0.03
91301 108 106 $0.02