NPI: 1578130597 · HONOLULU, HI 96817 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 436 | $1K |
| 2023 | 16,706 | $335K |
| 2024 | 30,055 | $10.74M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 11,313 | 738 | $9.17M | |
| Q4081 | Epoetin alfa, 100 units esrd | 4,621 | 369 | $1.59M |
| J0887 | Epoetin beta esrd use | 624 | 255 | $312K |
| J1756 | Iron sucrose injection | 1,690 | 299 | $7K |
| 84450 | 806 | 609 | $0.00 | |
| 84100 | 512 | 389 | $0.00 | |
| 83540 | 909 | 649 | $0.00 | |
| 84466 | 909 | 649 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 4,097 | 303 | $0.00 |
| 84295 | 88 | 72 | $0.00 | |
| 82310 | 1,212 | 651 | $0.00 | |
| 84520 | 1,062 | 391 | $0.00 | |
| 84155 | 850 | 651 | $0.00 | |
| 82565 | 427 | 355 | $0.00 | |
| 90653 | 13 | 12 | $0.00 | |
| 85014 | 325 | 239 | $0.00 | |
| 90661 | 19 | 18 | $0.00 | |
| 83970 | 310 | 231 | $0.00 | |
| 82374 | 117 | 87 | $0.00 | |
| 82947 | 46 | 37 | $0.00 | |
| 82108 | 35 | 19 | $0.00 | |
| 82040 | 445 | 358 | $0.00 | |
| 85025 | 855 | 651 | $0.00 | |
| 84075 | 855 | 651 | $0.00 | |
| 85018 | 966 | 502 | $0.00 | |
| A4657 | Syringe w/wo needle | 12,337 | 690 | $0.00 |
| 84132 | 98 | 72 | $0.00 | |
| 83735 | 69 | 47 | $0.00 | |
| 82435 | 87 | 72 | $0.00 | |
| J3490 | Drugs unclassified injection | 13 | 13 | $0.00 |
| 83036 | 127 | 112 | $0.00 | |
| 80069 | 257 | 170 | $0.00 | |
| 80051 | 339 | 282 | $0.00 | |
| 82607 | 69 | 47 | $0.00 | |
| 82728 | 307 | 231 | $0.00 | |
| 82746 | 69 | 47 | $0.00 | |
| 82306 | 69 | 47 | $0.00 | |
| 87340 | 84 | 60 | $0.00 | |
| G0008 | Admin influenza virus vac | 74 | 51 | $0.00 |
| 86706 | 69 | 47 | $0.00 | |
| 90674 | 23 | 13 | $0.00 |