Medicaid Provider Spending

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

KE OLA MAMO

NPI: 1700979531 · HONOLULU, HI 96817 · Family Medicine Physician · NPI assigned 10/02/2006

$63K
Total Medicaid Paid
2,793
Total Claims
2,089
Beneficiaries
14
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialRAFANAN, SHAMI (MEDICAL BILLER)
NPI Enumeration Date10/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 720 $12K
2019 965 $12K
2020 277 $4K
2021 472 $8K
2022 248 $18K
2023 111 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 555 467 $36K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 558 443 $17K
99442 416 254 $8K
98967 97 57 $998.01
99441 75 56 $613.71
99443 26 13 $594.60
G8783 Normal blood pressure reading documented, follow-up not required 66 51 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 631 476 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 16 14 $0.00
90837 Psychotherapy, 53 minutes with patient 95 54 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 25 17 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 15 12 $0.00
1036F 169 132 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 49 43 $0.00