Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › HONOLULU › PACIFIC ANESTHESIA, INC

PACIFIC ANESTHESIA, INC

NPI: 1538472451 · HONOLULU, HI 96817 · Anesthesiology Physician · NPI assigned 07/20/2010

$18K
Total Medicaid Paid
200
Total Claims
120
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialLEE, MARY ANN (OFFICE MANAGER)
NPI Enumeration Date07/20/2010

Related Entities

Other providers sharing the same authorized official: LEE, MARY ANN

ProviderCityStateTotal Paid
COUNTY OF STANISLAUS MODESTO CA $36.17M
COUNTY OF STANISLAUS MODESTO CA $3.85M
COUNTY OF STANISLAUS HUGHSON CA $2.75M
COUNTY OF STANISLAUS TURLOCK CA $2.39M
COUNTY OF STANISLAUS CERES CA $2.19M
COUNTY OF STANISLAUS MODESTO CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 145 $9K
2019 13 $3K
2022 42 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 118 44 $13K
00170 Anesthesia for intraoral procedures, including biopsy 13 12 $3K
01922 13 13 $1K
76942 16 13 $391.41
S9999 Sales tax 40 38 $0.03