Medicaid Provider Spending

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

KOA CLINIC, INC

NPI: 1528576436 · KAILUA KONA, HI 96740 · General Practice Physician · NPI assigned 01/12/2018

$17.01
Total Medicaid Paid
39
Total Claims
37
Beneficiaries
1
Codes Billed
2023-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMAUL DE SOTO, CORINNE (PRESIDENT)
NPI Enumeration Date01/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 25 $17.01
2024 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39 37 $17.01