Medicaid Provider Spending

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

ALA MOANA WALK-IN MEDICAL CLINIC, INC

NPI: 1871157628 · HONOLULU, HI 96814 · Nurse Practitioner · NPI assigned 04/26/2019

$36K
Total Medicaid Paid
432
Total Claims
388
Beneficiaries
3
Codes Billed
2021-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKIM, JAE HWAN (OWNER)
NPI Enumeration Date04/26/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 58 $3K
2022 44 $4K
2023 138 $12K
2024 192 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 304 265 $27K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 101 98 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 25 $2K