Home ›
HI ›
HONOLULU ›
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
NPI: 1689896953
· HONOLULU, HI 96819
· Health Service Clinic/Center
· NPI assigned 05/03/2007
$116K
Total Medicaid Paid
Provider Details
| Authorized Official | DERAUF, DAVID (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/03/2007 |
Related Entities
Other providers sharing the same authorized official: DERAUF, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
282 |
$13K |
| 2019 |
246 |
$9K |
| 2021 |
1,714 |
$48K |
| 2022 |
150 |
$11K |
| 2023 |
189 |
$10K |
| 2024 |
266 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
663 |
560 |
$52K |
| 0012A |
|
519 |
453 |
$22K |
| 0011A |
|
418 |
362 |
$21K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
430 |
363 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$6K |
| 91301 |
|
726 |
709 |
$0.05 |
| 82948 |
|
15 |
14 |
$0.00 |
| 1160F |
|
17 |
12 |
$0.00 |
| 1159F |
|
17 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |