Medicaid Provider Spending

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

MAKANA O KA OLA HEALTH AND WELLNESS CLINIC

NPI: 1750832259 · WAILUKU, HI 96793 · Primary Care Clinic/Center · NPI assigned 10/19/2016

$143K
Total Medicaid Paid
4,123
Total Claims
3,220
Beneficiaries
17
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialPRUSKY, STACEY (OFFICER)
NPI Enumeration Date10/19/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,357 $60K
2019 1,640 $75K
2020 126 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,261 1,776 $91K
99215 Prolong outpt/office vis 620 482 $38K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 421 330 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 184 157 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $312.91
96127 29 29 $82.56
94760 212 160 $57.05
99406 14 13 $18.93
1170F 147 79 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 15 14 $0.00
2010F 26 24 $0.00
3353F 50 30 $0.00
3079F 20 17 $0.00
1125F 14 13 $0.00
3074F 17 14 $0.00
1036F 14 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 65 55 $0.00