Medicaid Provider Spending

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

SAMUEL MAHELONA MEMORIAL HOSPITAL

NPI: 1669068680 · WAIMEA, HI 96796 · 261Q00000X

$397K
Total Medicaid Paid
7,800
Total Claims
6,640
Beneficiaries
27
Codes Billed
2021-03
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,558 $69K
2022 1,798 $87K
2023 1,927 $95K
2024 1,517 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 2,375 2,007 $176K
99214 1,120 935 $88K
99442 908 778 $54K
99391 239 179 $14K
99392 167 147 $12K
0002A 280 266 $10K
0001A 273 251 $9K
99215 Prolong outpt/office vis 73 56 $7K
99212 145 130 $6K
99393 74 64 $6K
99394 46 44 $5K
G2025 Dis site tele svcs rhc/fqhc 70 54 $3K
G2252 Brief chkin by md/qhp, 11-20 113 102 $2K
90460 816 683 $2K
80305 53 41 $388.67
87880 28 27 $356.23
87807 16 13 $203.40
90461 236 204 $154.48
92567 43 42 $143.04
96110 22 19 $12.25
99173 70 69 $7.23
96127 14 14 $5.26
91300 387 322 $0.05
90670 29 24 $0.01
91301 172 142 $0.01
90686 18 14 $0.00
90651 13 13 $0.00