NPI: 1538103973 · HILO, HI 96720 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 159 | $2K |
| 2019 | 258 | $1K |
| 2020 | 310 | $2K |
| 2021 | 1,104 | $30K |
| 2022 | 431 | $8K |
| 2023 | 304 | $6K |
| 2024 | 222 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 325 | 325 | $12K | |
| 90471 | 971 | 927 | $10K | |
| 0011A | 309 | 309 | $9K | |
| 91322 | 58 | 58 | $7K | |
| 90686 | 408 | 402 | $6K | |
| 0064A | 160 | 160 | $5K | |
| 90480 | 58 | 58 | $2K | |
| 90674 | 68 | 68 | $2K | |
| 90750 | 12 | 12 | $2K | |
| 0134A | 36 | 36 | $1K | |
| 90661 | 18 | 18 | $418.92 | |
| 90715 | 14 | 13 | $392.15 | |
| 90472 | 85 | 52 | $237.52 | |
| 90656 | 12 | 12 | $177.60 | |
| S9430 | Pharmacy comp/disp serv | 241 | 158 | $0.00 |
| 90620 | 13 | 13 | $0.00 |