Medicaid Provider Spending

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

KOHALA COAST URGENT CARE LLC

NPI: 1881328441 · KAMUELA, HI 96743 · Family Medicine Physician · NPI assigned 07/11/2022

$35K
Total Medicaid Paid
680
Total Claims
535
Beneficiaries
4
Codes Billed
2023-05
First Month
2024-09
Last Month

Provider Details

Authorized OfficialAKAKA, JAYNICE (OFFICE MANAGER)
NPI Enumeration Date07/11/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 440 $20K
2024 240 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 228 177 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 181 154 $17K
S9088 Services provided in an urgent care center (list in addition to code for service) 253 190 $486.27
Q3014 Telehealth originating site facility fee 18 14 $286.36