Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › HILO › OTA, GARRETT

OTA, GARRETT

NPI: 1760511026 · HILO, HI 96720 · 1223G0001X

$17K
Total Medicaid Paid
664
Total Claims
655
Beneficiaries
7
Codes Billed
2020-07
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 88 $2K
2021 195 $4K
2022 84 $2K
2023 170 $5K
2024 127 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 256 256 $9K
D1110 50 50 $2K
D0220 157 153 $2K
D0272 42 42 $910.00
D1208 66 66 $876.09
D0230 80 75 $836.50
D1120 13 13 $336.80