Medicaid Provider Spending

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

KIDS THRIVE PEDIATRICS, LLC

NPI: 1972252526 · HONOLULU, HI 96817 · Health Service Clinic/Center · NPI assigned 03/21/2022

$21K
Total Medicaid Paid
449
Total Claims
403
Beneficiaries
5
Codes Billed
2022-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHANER, KRISTINE (OWNER/PEDIATRICIAN)
NPI Enumeration Date03/21/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 136 $4K
2023 274 $16K
2024 39 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 247 209 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 14 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 98 93 $1K
90658 78 75 $0.00