Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › HILO › EAST HAWAII HEALTH PHARMACY

EAST HAWAII HEALTH PHARMACY

NPI: 1518601509 · HILO, HI 96720 · Pharmacy · NPI assigned 04/25/2022

$26.20
Total Medicaid Paid
34
Total Claims
32
Beneficiaries
2
Codes Billed
2024-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWALTJEN, JONI (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date04/25/2022

Related Entities

Other providers sharing the same authorized official: WALTJEN, JONI

ProviderCityStateTotal Paid
HILO BENIOFF MEDICAL CENTER HILO HI $51.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 34 $26.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90656 16 15 $22.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 17 $4.00