Medicaid Provider Spending

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

QSI INC

NPI: 1942695911 · HONOLULU, HI 96817 · Community/Retail Pharmacy · NPI assigned 04/06/2015

$22K
Total Medicaid Paid
2,650
Total Claims
2,606
Beneficiaries
13
Codes Billed
2018-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPANG, ALYSSA (DIRECTOR OF PHARMACY)
NPI Enumeration Date04/06/2015

Related Entities

Other providers sharing the same authorized official: PANG, ALYSSA

ProviderCityStateTotal Paid
QSI INC PEARL CITY HI $3K
QSI INC WAIPAHU HI $829.92
QSI INC HONOLULU HI $393.12
QSI INC LAHAINA HI $129.96
QSI INC HONOLULU HI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 86 $1K
2019 119 $2K
2020 184 $2K
2021 1,627 $5K
2022 455 $9K
2023 99 $2K
2024 80 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 484 474 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 606 593 $5K
0064A 141 139 $4K
90674 58 58 $2K
0054A 41 41 $1K
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 81 81 $1K
0004A 36 36 $981.41
90656 40 40 $804.63
0012A 447 439 $288.29
0031A 106 105 $205.40
0011A 465 460 $202.80
0001A 66 64 $43.68
0002A 79 76 $30.68