VENTURE MEDICAL 21 INC
NPI: 1851647952
· EWA BEACH, HI 96706
· Clinic/Center
· NPI assigned 07/26/2012
$786K
Total Medicaid Paid
Provider Details
| Authorized Official | REQUE, JOSE (PRESIDENT) |
| NPI Enumeration Date | 07/26/2012 |
Related Entities
Other providers sharing the same authorized official: REQUE, JOSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,647 |
$169K |
| 2019 |
4,348 |
$148K |
| 2020 |
1,639 |
$50K |
| 2021 |
2,190 |
$75K |
| 2022 |
2,009 |
$122K |
| 2023 |
2,236 |
$107K |
| 2024 |
2,342 |
$115K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,972 |
6,093 |
$444K |
| 99213 |
|
5,728 |
4,837 |
$259K |
| 99204 |
|
241 |
232 |
$22K |
| 99212 |
|
660 |
531 |
$17K |
| 95943 |
|
217 |
169 |
$11K |
| 95923 |
|
171 |
149 |
$11K |
| 90471 |
|
711 |
643 |
$7K |
| 90688 |
|
385 |
359 |
$4K |
| 99497 |
|
197 |
170 |
$4K |
| 83036 |
|
308 |
284 |
$3K |
| 99396 |
|
16 |
16 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
14 |
$815.27 |
| 90656 |
|
43 |
43 |
$669.19 |
| 86580 |
|
26 |
25 |
$220.50 |
| 99397 |
|
19 |
18 |
$101.94 |
| 36416 |
|
109 |
101 |
$99.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
28 |
$88.33 |
| S9999 |
Sales tax |
533 |
408 |
$51.79 |
| A4456 |
Adhesive remover, wipes, any type, each |
256 |
226 |
$33.06 |
| G0008 |
Administration of influenza virus vaccine |
92 |
71 |
$19.00 |
| 3074F |
|
1,079 |
986 |
$1.08 |
| 3078F |
|
844 |
769 |
$0.88 |
| 3079F |
|
359 |
332 |
$0.30 |
| 1170F |
|
143 |
116 |
$0.14 |
| 3075F |
|
59 |
56 |
$0.09 |
| 1124F |
|
135 |
104 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
61 |
50 |
$0.00 |