Medicaid Provider Spending

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

ST LUKES CLINIC ALA MOANA INC

NPI: 1568494730 · HONOULULU, HI 96814 · Internal Medicine Physician · NPI assigned 07/07/2006

$47K
Total Medicaid Paid
16,691
Total Claims
13,074
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOBAYASHI, KEIICHI (PRESIDENT)
NPI Enumeration Date07/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,864 $2K
2019 1,684 $5K
2020 1,448 $2K
2021 2,927 $5K
2022 3,243 $10K
2023 3,459 $11K
2024 2,066 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,936 2,996 $44K
90686 116 115 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 183 180 $859.79
90688 37 37 $631.27
S9999 Sales tax 4,549 3,470 $108.13
96127 46 45 $14.48
3078F 756 617 $0.00
3079F 897 742 $0.00
3074F 2,029 1,610 $0.00
3008F 3,854 2,985 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 259 248 $0.00
G9275 Documentation that patient is a current non-tobacco user 15 15 $0.00
G9459 Currently a tobacco non-user 14 14 $0.00