NPI: 1861434698 · WAIANAE, HI 96792 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 50 | $571.30 |
| 2019 | 17 | $0.00 |
| 2020 | 181 | $2K |
| 2021 | 817 | $21K |
| 2022 | 276 | $6K |
| 2023 | 266 | $7K |
| 2024 | 126 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 246 | 246 | $9K | |
| 0011A | 268 | 268 | $8K | |
| 90471 | 659 | 624 | $7K | |
| 91322 | 35 | 35 | $5K | |
| 0064A | 120 | 120 | $4K | |
| 90686 | 186 | 179 | $3K | |
| 90674 | 62 | 60 | $2K | |
| 90480 | 35 | 35 | $2K | |
| 90636 | 13 | 13 | $1K | |
| 0134A | 25 | 25 | $996.36 | |
| 90661 | 13 | 13 | $453.83 | |
| 90472 | 31 | 24 | $138.16 | |
| S9430 | Pharmacy comp/disp serv | 40 | 39 | $0.00 |