HAWAII ISLAND ADULT CARE, INC.
NPI: 1548843725
· HILO, HI 96720
· Adult Day Care Clinic/Center
· NPI assigned 05/04/2021
$174K
Total Medicaid Paid
Provider Details
| Authorized Official | VANCE, MONA (SR. ADMINISTRATIVE ASSISTANT) |
| NPI Enumeration Date | 05/04/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
184 |
$31K |
| 2024 |
777 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
961 |
134 |
$174K |