Medicaid Provider Spending

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

ALOHA EYE CLINIC SURGICAL CENTER LLC

NPI: 1669868600 · WAILUKU, HI 96793 · Ambulatory Surgical Clinic/Center · NPI assigned 04/07/2015

$35K
Total Medicaid Paid
16
Total Claims
12
Beneficiaries
1
Codes Billed
2024-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTANTISIRA, JIVIN (MEMBER)
NPI Enumeration Date04/07/2015

Related Entities

Other providers sharing the same authorized official: TANTISIRA, JIVIN

ProviderCityStateTotal Paid
ALOHA EYE CLINIC, LTD. WAILUKU HI $943K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 16 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 16 12 $35K