Medicaid Provider Spending

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

PACIFIC VASCULAR INSTITUTE-KONA

NPI: 1720697931 · KAILUA KONA, HI 96740 · Clinic/Center · NPI assigned 07/24/2020

$196K
Total Medicaid Paid
1,717
Total Claims
1,396
Beneficiaries
9
Codes Billed
2021-10
First Month
2024-04
Last Month

Provider Details

Authorized OfficialREDDICK, HARDEEP (MANAGER)
NPI Enumeration Date07/24/2020

Related Entities

Other providers sharing the same authorized official: REDDICK, HARDEEP

ProviderCityStateTotal Paid
PACIFIC VASCULAR INSTITUTE, LLC AIEA HI $75K
FAIRBANKS VASCULAR SURGERY FAIRBANKS AK $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 42 $2K
2022 750 $78K
2023 682 $95K
2024 243 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93970 411 394 $54K
93971 521 377 $48K
36475 65 40 $43K
93925 171 160 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 199 183 $12K
36471 61 27 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 138 104 $4K
76942 77 39 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 74 72 $1K