Medicaid Provider Spending

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

PON-SANG CHAN MD INC

NPI: 1871554105 · HONOLULU, HI 96817 · Medical Specialty Clinic/Center · NPI assigned 03/28/2006

$107K
Total Medicaid Paid
3,009
Total Claims
2,709
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCHAN, PON-SANG (PRESIDENT)
NPI Enumeration Date03/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 828 $30K
2019 618 $23K
2020 274 $9K
2021 412 $14K
2022 403 $17K
2023 389 $9K
2024 85 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,956 1,808 $71K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 695 565 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 86 85 $11K
93925 14 14 $2K
93880 14 14 $2K
93970 14 14 $2K
93978 14 14 $1K
93923 14 14 $1K
93000 68 64 $1K
93015 12 12 $828.23
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 15 $318.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00
3074F 36 31 $0.00
3078F 41 34 $0.00
99397 13 12 $0.00