Medicaid Provider Spending

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

KOKUA VILLA, INC.

NPI: 1841427739 · WAIANAE, HI 96792 · Developmentally Disabled Services Day Training Agency · NPI assigned 06/17/2009

$3.87M
Total Medicaid Paid
18,035
Total Claims
3,028
Beneficiaries
5
Codes Billed
2020-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWHITLOCK, ROSALINE (PRESIDENT/OWNER)
NPI Enumeration Date06/17/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 449 $32K
2021 2,720 $301K
2022 3,375 $681K
2023 5,388 $1.26M
2024 6,103 $1.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2021 Community-based wrap-around services, per 15 minutes 9,522 1,667 $2.19M
H2032 Activity therapy, per 15 minutes 7,486 1,154 $1.48M
S5125 Attendant care services; per 15 minutes 238 38 $160K
T2020 Day habilitation, waiver; per diem 449 100 $32K
H2015 Comprehensive community support services, per 15 minutes 340 69 $8K