Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WAIANAE
› KOKUA VILLA, INC.
KOKUA VILLA, INC.
NPI: 1841427739 · WAIANAE, HI 96792 ·
251C00000X
$3.87M
Total Medicaid Paid
18,035
Total Claims
3,028
Beneficiaries
5
Codes Billed
2020-03
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
449
$32K
2021
2,720
$301K
2022
3,375
$681K
2023
5,388
$1.26M
2024
6,103
$1.60M
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
H2021
Com wrap-around sv, 15 min
9,522
1,667
$2.19M
H2032
Activity therapy, per 15 min
7,486
1,154
$1.48M
S5125
Attendant care service /15m
238
38
$160K
T2020
Day habil waiver per diem
449
100
$32K
H2015
Comp comm supp svc, 15 min
340
69
$8K