Medicaid Provider Spending

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

HILO BENIOFF MEDICAL CENTER

NPI: 1780757856 · HILO, HI 96720 · General Acute Care Hospital · NPI assigned 11/16/2006

$51.17M
Total Medicaid Paid
853,949
Total Claims
706,755
Beneficiaries
272
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTJEN, JONI (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date11/16/2006

Related Entities

Other providers sharing the same authorized official: WALTJEN, JONI

ProviderCityStateTotal Paid
EAST HAWAII HEALTH PHARMACY HILO HI $26.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 142,048 $9.65M
2019 133,369 $8.43M
2020 88,926 $4.49M
2021 118,100 $4.96M
2022 119,519 $6.00M
2023 135,822 $8.26M
2024 116,165 $9.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 40,784 36,801 $12.33M
99284 Emergency department visit for the evaluation and management, high severity 25,685 22,534 $11.52M
99282 Emergency department visit for the evaluation and management, low to moderate severity 22,506 21,120 $4.45M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,332 6,824 $4.07M
99281 Emergency department visit for the evaluation and management, self-limited or minor 26,051 23,407 $3.30M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,309 3,938 $2.87M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 9,231 8,725 $1.60M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,160 1,074 $1.23M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,801 9,784 $1.21M
74176 Computed tomography, abdomen and pelvis; without contrast material 3,974 3,741 $907K
59025 Fetal non-stress test 4,412 2,649 $857K
G0378 Hospital observation service, per hour 4,544 2,133 $705K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 26,437 22,990 $646K
70450 Computed tomography, head or brain; without contrast material 8,523 7,733 $448K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,702 2,035 $442K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,623 3,374 $321K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,183 1,158 $229K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 308 287 $197K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 296 288 $153K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 252 241 $147K
71045 Radiologic examination, chest; single view 20,335 18,039 $143K
86900 2,594 2,250 $143K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,348 3,677 $135K
71275 Computed tomographic angiography, chest, with contrast material 1,026 978 $129K
A4649 Surgical supply; miscellaneous 1,842 1,305 $118K
41899 Unlisted procedure, dentoalveolar structures 144 142 $109K
10060 905 870 $96K
12001 873 829 $95K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,802 1,642 $87K
0002A 2,279 2,172 $86K
71046 Radiologic examination, chest; 2 views 7,733 7,364 $85K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,938 8,147 $80K
0001A 2,123 2,042 $79K
70551 Magnetic resonance imaging, brain; without contrast material 571 536 $78K
73610 2,482 2,171 $73K
12002 867 835 $73K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,912 2,747 $72K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,544 2,738 $71K
73562 2,943 2,492 $69K
73630 2,619 2,346 $68K
76801 1,183 1,062 $67K
76830 Ultrasound, transvaginal 1,631 1,571 $65K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 118 105 $64K
73030 2,673 2,374 $63K
73110 2,291 1,953 $56K
73130 2,433 2,111 $50K
76770 880 822 $48K
97161 646 606 $46K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,962 1,754 $45K
93971 1,171 1,107 $43K
72125 Computed tomography, cervical spine; without contrast material 2,849 2,619 $43K
94060 375 371 $40K
70486 858 806 $39K
P9016 Red blood cells, leukocytes reduced, each unit 68 51 $38K
72131 1,278 1,191 $37K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,497 7,467 $36K
87634 3,460 3,309 $36K
73080 1,235 1,085 $35K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,010 552 $33K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,323 1,196 $33K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,222 1,150 $33K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,123 1,669 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,041 1,646 $31K
74018 657 603 $30K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,928 1,787 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,237 1,156 $29K
73502 1,378 1,268 $29K
86920 188 154 $27K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,034 2,058 $25K
C1889 Implantable/insertable device, not otherwise classified 545 506 $23K
96375 Therapeutic injection; each additional sequential IV push 20,004 16,120 $23K
71250 468 453 $23K
96361 Intravenous infusion, hydration; each additional hour 5,045 4,402 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 86 81 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,308 1,252 $22K
73140 868 745 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 27,516 23,041 $18K
73590 1,113 968 $18K
73564 453 349 $15K
73090 577 486 $14K
76536 150 145 $13K
97162 156 149 $12K
71271 111 110 $12K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 88 88 $11K
94726 406 401 $11K
71101 400 378 $11K
96376 3,510 2,882 $10K
J0897 Injection, denosumab, 1 mg 12 12 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,717 1,650 $9K
88307 27 27 $9K
93970 69 68 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 5,214 4,285 $8K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 44 40 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 12 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $8K
12011 93 91 $7K
88342 145 140 $7K
99215 Prolong outpt/office vis 95 75 $7K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 43 39 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 25 25 $7K
93880 26 26 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete 118 117 $5K
76870 85 77 $5K
93925 12 12 $5K
70491 63 62 $5K
96523 176 134 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 689 467 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 174 100 $4K
80053 Comprehensive metabolic panel 48,587 41,290 $4K
Q5101 Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram 229 67 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 17,746 13,930 $3K
83880 2,113 1,899 $3K
96415 851 463 $3K
86901 3,373 2,960 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 51 49 $3K
93351 13 13 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 179 123 $2K
74174 13 13 $2K
72170 56 51 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,626 4,511 $2K
72110 56 55 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 786 717 $1K
97165 29 25 $1K
72128 110 97 $1K
93017 320 299 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 138 128 $1K
84702 1,817 1,593 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 53,492 44,187 $967.79
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,363 909 $917.65
93976 126 119 $900.38
87420 882 822 $851.02
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,194 1,125 $751.61
87186 4,869 4,554 $702.75
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 469 398 $527.58
72100 52 50 $516.84
76000 256 221 $444.58
90715 2,501 2,350 $401.16
87086 Culture, bacterial; quantitative colony count, urine 11,736 10,692 $386.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,972 1,854 $356.87
84703 14,628 13,016 $339.82
87077 5,413 5,082 $330.74
80048 Basic metabolic panel (calcium, ionized) 4,624 3,849 $319.69
81001 34,428 30,331 $302.30
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 775 695 $263.80
83690 11,593 10,388 $261.43
73521 14 14 $252.71
80329 996 505 $252.42
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 32 27 $204.74
72192 16 13 $194.84
73552 13 13 $164.33
C1769 Guide wire 1,247 1,106 $161.78
70496 14 14 $147.41
84484 12,632 9,304 $138.48
94375 28 28 $125.05
84443 Thyroid stimulating hormone (TSH) 3,759 3,437 $120.62
83605 5,997 4,900 $99.66
84145 2,370 2,175 $87.86
87040 7,235 4,074 $82.33
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 11,894 10,953 $77.83
83735 7,932 6,779 $66.10
87070 1,849 1,722 $64.35
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,029 1,984 $61.12
96367 2,440 1,399 $56.47
85379 2,158 2,056 $53.50
85610 8,565 7,763 $49.76
J1885 Injection, ketorolac tromethamine, per 15 mg 20,843 13,095 $48.07
70498 25 25 $46.00
87081 1,692 1,646 $45.78
85730 5,300 4,851 $38.39
73660 39 38 $37.69
36591 20 12 $35.82
J0330 Injection, succinylcholine chloride, up to 20 mg 525 454 $34.80
86140 1,778 1,678 $34.00
82805 117 103 $27.85
A9575 Injection, gadoterate meglumine, 0.1 ml 359 345 $27.56
80320 809 708 $21.37
84100 2,893 2,323 $18.50
87088 860 811 $15.70
J3475 Injection, magnesium sulfate, per 500 mg 3,127 2,330 $15.32
96402 189 157 $15.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,271 8,680 $13.66
86850 2,528 2,208 $13.08
80061 Lipid panel 12 12 $11.54
J3490 Unclassified drugs 490 330 $11.54
J0690 Injection, cefazolin sodium, 500 mg 6,581 3,271 $11.30
87205 1,458 1,366 $10.44
J2765 Injection, metoclopramide hcl, up to 10 mg 4,498 3,957 $9.66
J2270 Injection, morphine sulfate, up to 10 mg 5,969 4,327 $6.28
85651 475 456 $5.53
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,960 4,385 $5.00
A9270 Non-covered item or service 779 314 $3.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 190 126 $1.61
J7030 Infusion, normal saline solution , 1000 cc 1,048 789 $1.52
J2060 Injection, lorazepam, 2 mg 2,657 1,988 $1.28
J1170 Injection, hydromorphone, up to 4 mg 3,744 2,306 $1.25
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,673 1,410 $1.00
J3010 Injection, fentanyl citrate, 0.1 mg 15,446 9,096 $0.75
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,440 2,221 $0.62
J2250 Injection, midazolam hydrochloride, per 1 mg 5,115 3,759 $0.13
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,064 1,775 $0.00
J1453 Injection, fosaprepitant, 1 mg 452 255 $0.00
C9113 Injection, pantoprazole sodium, per vial 1,447 1,134 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 239 208 $0.00
J3105 Injection, terbutaline sulfate, up to 1 mg 298 172 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 962 850 $0.00
80305 758 694 $0.00
A4565 Slings 60 60 $0.00
94729 411 405 $0.00
82565 144 138 $0.00
J1644 Injection, heparin sodium, per 1000 units 178 93 $0.00
96417 456 292 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 271 228 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 1,321 1,174 $0.00
A6445 Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard 25 25 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 1,490 1,365 $0.00
91300 4,417 3,777 $0.00
J1171 Injection, hydromorphone, 0.1 mg 219 75 $0.00
J3370 Injection, vancomycin hcl, 500 mg 458 293 $0.00
84550 132 111 $0.00
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard 52 49 $0.00
87075 85 79 $0.00
29125 41 41 $0.00
77336 73 26 $0.00
S0028 Injection, famotidine, 20 mg 96 94 $0.00
87210 12 12 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 36 29 $0.00
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 26 24 $0.00
A4353 Intermittent urinary catheter, with insertion supplies 48 45 $0.00
C1758 Catheter, ureteral 13 13 $0.00
88312 29 27 $0.00
J1953 Injection, levetiracetam, 10 mg 34 26 $0.00
80076 12 12 $0.00
87045 14 14 $0.00
87899 26 13 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,050 1,641 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 434 251 $0.00
V2632 Posterior chamber intraocular lens 267 259 $0.00
J1630 Injection, haloperidol, up to 5 mg 754 536 $0.00
J1815 Injection, insulin, per 5 units 365 251 $0.00
88304 693 629 $0.00
J1940 Injection, furosemide, up to 20 mg 1,195 909 $0.00
82550 955 887 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 854 487 $0.00
J7050 Infusion, normal saline solution, 250 cc 953 284 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 261 251 $0.00
88341 14 13 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 325 286 $0.00
85027 95 89 $0.00
J2785 Injection, regadenoson, 0.1 mg 211 195 $0.00
J0456 Injection, azithromycin, 500 mg 14 14 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 869 585 $0.00
36430 27 26 $0.00
73060 13 12 $0.00
Q3014 Telehealth originating site facility fee 155 138 $0.00
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 13 13 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 250 234 $0.00
J3480 Injection, potassium chloride, per 2 meq 39 27 $0.00
97035 146 81 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 119 108 $0.00
J3360 Injection, diazepam, up to 5 mg 147 71 $0.00
0031A 18 16 $0.00
Q0222 Injection, bebtelovimab, 175 mg 74 69 $0.00
87046 14 14 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 15 12 $0.00
87015 13 13 $0.00
74022 15 13 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 14 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 51 43 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 41 34 $0.00
J3590 Unclassified biologics 37 30 $0.00
91303 22 21 $0.00
A4320 Irrigation tray with bulb or piston syringe, any purpose 23 17 $0.00