Medicaid Provider Spending

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

QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL

NPI: 1780177493 · KAMUELA, HI 96743 · General Practice Physician · NPI assigned 06/08/2018

$642K
Total Medicaid Paid
6,508
Total Claims
5,476
Beneficiaries
9
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTABAC, ERLYNN (BUSINESS SERVICES MANAGER)
NPI Enumeration Date06/08/2018

Related Entities

Other providers sharing the same authorized official: TABAC, ERLYNN

ProviderCityStateTotal Paid
QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL KAMUELA HI $623K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 831 $35K
2020 980 $51K
2021 1,699 $98K
2022 1,150 $97K
2023 960 $173K
2024 888 $188K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,353 2,027 $313K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,274 1,874 $164K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,402 1,184 $137K
90847 Family psychotherapy with the patient present, 50 minutes 235 188 $17K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 139 117 $4K
90834 Psychotherapy, 45 minutes with patient 44 29 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17 14 $3K
90792 Psychiatric diagnostic evaluation with medical services 16 15 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 28 28 $254.21