NPI: 1952911372 · HAIKU, HI 96708 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 220 | $2K |
| 2022 | 720 | $7K |
| 2023 | 1,390 | $16K |
| 2024 | 709 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99392 | 395 | 315 | $9K | |
| 99213 | 447 | 383 | $8K | |
| 99391 | 383 | 271 | $7K | |
| S0302 | Completed epsdt | 176 | 156 | $5K |
| 90460 | 731 | 568 | $4K | |
| 99214 | 93 | 84 | $3K | |
| 87428 | 20 | 15 | $1K | |
| 90461 | 257 | 179 | $297.02 | |
| 99174 | 39 | 25 | $165.00 | |
| 96110 | 164 | 149 | $123.83 | |
| 99212 | 16 | 13 | $122.62 | |
| 99072 | 30 | 28 | $18.14 | |
| 85018 | 119 | 90 | $17.39 | |
| 92551 | 34 | 25 | $16.84 | |
| 96161 | 87 | 84 | $15.79 | |
| 99173 | 33 | 29 | $7.23 | |
| 90670 | 15 | 14 | $0.00 |