Medicaid Provider Spending

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

EMI OTA, M.D., INC.

NPI: 1790230480 · HONOLULU, HI 96821 · Primary Care Clinic/Center · NPI assigned 08/23/2016

$2K
Total Medicaid Paid
551
Total Claims
484
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOTA, EMI (PHYSICIAN)
NPI Enumeration Date08/23/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57 $632.72
2021 31 $256.80
2022 147 $503.22
2023 132 $390.44
2024 184 $242.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 358 310 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30 27 $539.34
96127 26 25 $1.03
G8510 Screening for depression is documented as negative, a follow-up plan is not required 109 96 $0.00
1036F 28 26 $0.00