NPI: 1962806695 · LIHUE, HI 96766 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,376 | $8K |
| 2019 | 1,340 | $11K |
| 2020 | 224 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 446 | 409 | $9K | |
| 99213 | 841 | 778 | $8K | |
| 99393 | 115 | 104 | $1K | |
| 99392 | 47 | 45 | $1K | |
| 87502 | 62 | 58 | $632.54 | |
| 99391 | 21 | 13 | $480.00 | |
| 87880 | 206 | 198 | $365.05 | |
| S0302 | Completed epsdt | 706 | 631 | $201.00 |
| 99211 | 54 | 32 | $53.81 | |
| 92551 | 66 | 51 | $32.79 | |
| 96110 | 84 | 75 | $20.59 | |
| 99173 | 67 | 51 | $12.08 | |
| 90670 | 27 | 27 | $4.00 | |
| 90686 | 70 | 47 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 16 | 13 | $0.00 |
| 90688 | 61 | 55 | $0.00 | |
| 90651 | 15 | 12 | $0.00 | |
| G9459 | Tob non-user | 19 | 14 | $0.00 |
| 90685 | 17 | 16 | $0.00 |