Medicaid Provider Spending

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

KALIHI KAI URGENT CARE LLC

NPI: 1639561343 · HONOLULU, HI 96819 · Urgent Care Clinic/Center · NPI assigned 03/04/2015

$422K
Total Medicaid Paid
14,759
Total Claims
11,162
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCABANILLA, RIDA (PRESIDENT)
NPI Enumeration Date03/04/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,025 $36K
2019 597 $30K
2020 2,414 $46K
2021 5,176 $132K
2022 3,341 $106K
2023 1,242 $38K
2024 964 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,737 2,891 $114K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,243 1,762 $108K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,630 1,871 $79K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,144 878 $46K
S9088 Services provided in an urgent care center (list in addition to code for service) 3,294 2,451 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 386 295 $23K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 190 141 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 87 75 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 197 152 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 142 111 $2K
87077 297 224 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 97 67 $962.16
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 43 35 $452.17
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 65 57 $152.84
S9999 Sales tax 207 152 $19.99