Medicaid Provider Spending

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

LAULEA HEALTH CENTER LLC

NPI: 1982105052 · LAHAINA, HI 96761 · Medical Specialty Clinic/Center · NPI assigned 02/23/2018

$19K
Total Medicaid Paid
509
Total Claims
414
Beneficiaries
1
Codes Billed
2018-07
First Month
2020-03
Last Month

Provider Details

Authorized OfficialJOHNSEN, SAMUEL (OWNER)
NPI Enumeration Date02/23/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128 $5K
2019 335 $13K
2020 46 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 509 414 $19K