Medicaid Provider Spending

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

OUTREACH MEDICAL GROUP DOWNTOWN LLC

NPI: 1659080901 · HONOLULU, HI 96817 · Nurse Practitioner · NPI assigned 11/15/2022

$15K
Total Medicaid Paid
252
Total Claims
155
Beneficiaries
2
Codes Billed
2023-10
First Month
2024-04
Last Month

Provider Details

Authorized OfficialTENGAN, DEREK (MEMBER)
NPI Enumeration Date11/15/2022

Related Entities

Other providers sharing the same authorized official: TENGAN, DEREK

ProviderCityStateTotal Paid
5 MINUTE PHARMACY SBC HONOLULU HI $461K
5 MINUTE PHARMACY LTC LLC WAIPAHU HI $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 109 $5K
2024 143 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 203 121 $13K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 49 34 $2K