Supplier
Lihue Pharmacy INC
Lihue Pharmacy INC was paid $55K by Medicaid between Jun 2018 and Jan 2022, across 7 billing codes. Its largest line is J2675, Injection, progesterone, per 50 mg — 84% of everything it billed.
33Billing provider infoLIHUE PHARMACY INC
LIHUE, HI 96766
LIHUE, HI 96766
33aNPI1821074972assigned 12/21/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$55K
24GClaims522
24DCodes billed7
24AFirst – last monthJun 2018 – Jan 2022
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Hawaii
Rank by total paid#36 of 123
Median peer was paid$20K
This provider vs. median2.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 44 | $6K | |
| 2019 | 207 | $43K | |
| 2020 | 98 | $803.78 | |
| 2021 | 148 | $5K | |
| 2022 | 25 | $814.70 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J2675 | Injection, progesterone, per 50 mg | 84% | 202 | 190 | $46K |
| 0011A | 4.6% | 71 | 66 | $3K | |
| J3490 | Unclassified drugs | 3.9% | 29 | 29 | $2K |
| 0012A | 3.7% | 59 | 55 | $2K | |
| 0013A | 2.5% | 43 | 36 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 83 | 64 | $607.14 |
| 90688 | <1% | 35 | 28 | $323.98 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGLICK, KEVIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Hawaii Home Infusion Associates, LTD. | Lihue, HI | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.