NPI: 1669401626 · HILO, HI 96720 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 88 | $1K |
| 2019 | 46 | $530.96 |
| 2020 | 124 | $2K |
| 2021 | 1,385 | $54K |
| 2022 | 541 | $15K |
| 2023 | 125 | $6K |
| 2024 | 153 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 557 | 555 | $23K | |
| 0002A | 560 | 560 | $23K | |
| 0054A | 230 | 230 | $6K | |
| 91320 | 52 | 52 | $6K | |
| 90682 | 84 | 84 | $5K | |
| 0004A | 136 | 136 | $5K | |
| 0124A | 87 | 87 | $3K | |
| 90673 | 45 | 45 | $3K | |
| 90480 | 81 | 81 | $3K | |
| G0008 | Admin influenza virus vac | 238 | 238 | $3K |
| 90686 | 101 | 101 | $2K | |
| 90471 | 153 | 134 | $2K | |
| 0064A | 48 | 48 | $2K | |
| 0071A | 28 | 28 | $1K | |
| 0072A | 27 | 27 | $1K | |
| 0052A | 23 | 23 | $346.56 | |
| 0051A | 12 | 12 | $129.96 |