Medicaid Provider Spending

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

MILESTONES

NPI: 1881108652 · HONOLULU, HI 96813 · Clinical Child & Adolescent Psychologist · NPI assigned 11/30/2017

$100K
Total Medicaid Paid
1,648
Total Claims
1,505
Beneficiaries
10
Codes Billed
2018-03
First Month
2019-02
Last Month

Provider Details

Authorized OfficialDEVINE, IRISA (MEDICAL DIRECTOR)
NPI Enumeration Date11/30/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,415 $90K
2019 233 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 762 735 $45K
99205 Prolong outpt/office vis 280 262 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 146 139 $14K
99215 Prolong outpt/office vis 111 88 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 83 67 $6K
97803 96 77 $306.43
97802 32 29 $160.80
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 26 $44.02
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 16 12 $0.00
92523 95 70 $0.00