Medicaid Provider Spending

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

KAHUKU MEDICAL CENTER

NPI: 1780125179 · KAHUKU, HI 96731 · Rural Health Clinic/Center · NPI assigned 03/17/2017

$99K
Total Medicaid Paid
1,730
Total Claims
1,450
Beneficiaries
11
Codes Billed
2020-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFLORES, JEROME (CFO COO)
NPI Enumeration Date03/17/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 109 $2K
2021 362 $4K
2022 389 $9K
2023 220 $14K
2024 650 $70K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,225 1,077 $65K
90837 Psychotherapy, 53 minutes with patient 102 52 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 64 59 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 100 90 $4K
90834 Psychotherapy, 45 minutes with patient 26 13 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15 12 $466.35
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16 13 $179.75
90472 Immunization administration, each additional vaccine (list separately) 17 12 $136.54
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 63 41 $94.95
90461 30 24 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 72 57 $0.00