Medicaid Provider Spending

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

KYSTICARE HAWAII PROVIDERS, L.L.C.

NPI: 1538863667 · EWA BEACH, HI 96706 · In Home Supportive Care Agency · NPI assigned 03/30/2023

$3K
Total Medicaid Paid
105
Total Claims
28
Beneficiaries
1
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMANUEL, JAMAICA (HOME CARE ADMINISTRATOR)
NPI Enumeration Date03/30/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 105 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5130 Homemaker service, nos; per 15 minutes 105 28 $3K