NPI: 1720206972 · WAIPAHU, HI 96797 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,253 | $179K |
| 2019 | 6,512 | $269K |
| 2020 | 6,187 | $287K |
| 2021 | 5,027 | $243K |
| 2022 | 5,193 | $317K |
| 2023 | 7,588 | $290K |
| 2024 | 8,275 | $319K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4527 | Adult size pull-on lg | 2,788 | 2,607 | $292K |
| T4526 | Adult size pull-on med | 3,169 | 3,030 | $285K |
| T4523 | Adult size brief/diaper lg | 2,688 | 2,604 | $246K |
| A4927 | Non-sterile gloves | 11,423 | 11,060 | $242K |
| T4541 | Large disposable underpad | 11,718 | 11,165 | $201K |
| T4524 | Adult size brief/diaper xl | 1,397 | 1,367 | $148K |
| B4100 | Food thickener oral | 1,208 | 1,061 | $146K |
| T4522 | Adult size brief/diaper med | 1,520 | 1,391 | $120K |
| B4150 | Ef complet w/intact nutrient | 2,023 | 1,864 | $93K |
| T4528 | Adult size pull-on xl | 547 | 543 | $58K |
| B4154 | Ef spec metabolic noninherit | 526 | 472 | $35K |
| A4335 | Incontinence supply | 2,808 | 2,590 | $33K |
| B4152 | Ef calorie dense>/=1.5kcal | 220 | 179 | $7K |