Medicaid Provider Spending

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

PEARL CITY MEDICAL ASSOCIATES, INC.

NPI: 1962446609 · AIEA, HI 96701 · 208000000X

$41K
Total Medicaid Paid
10,801
Total Claims
10,027
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,806 $2K
2019 1,887 $9K
2020 529 $2K
2021 561 $95.12
2022 1,300 $2K
2023 2,686 $5K
2024 2,032 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0302 Completed epsdt 585 567 $20K
99213 2,595 2,360 $10K
99214 843 781 $5K
90460 697 677 $3K
99391 72 67 $902.20
99393 68 66 $569.00
S9999 Sales tax 4,328 3,944 $484.59
90471 229 218 $409.92
99392 53 52 $352.23
99394 39 38 $246.28
92551 462 454 $125.86
99173 470 462 $29.61
90461 132 129 $0.00
87804 24 12 $0.00
96127 25 25 $0.00
G8510 Scr dep neg, no plan reqd 147 143 $0.00
96110 32 32 $0.00