Medicaid Provider Spending

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

KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES

NPI: 1558583856 · HONOLULU, HI 96819 · Health Service Clinic/Center · NPI assigned 05/03/2007

$80K
Total Medicaid Paid
509
Total Claims
434
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDERAUF, DAVID (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/03/2007

Related Entities

Other providers sharing the same authorized official: DERAUF, DAVID

ProviderCityStateTotal Paid
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES HONOLULU HI $10.05M
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES HONOLULU HI $1.18M
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES HONOLULU HI $116K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75 $14K
2022 55 $10K
2023 97 $14K
2024 282 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 267 225 $52K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 194 167 $25K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 33 29 $3K
82948 15 13 $0.00