KALIHI FAMILY EYECARE, LLC
NPI: 1053754531
· HONOLULU, HI 96817
· Optometrist
· NPI assigned 04/15/2013
$854.51
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
56 |
$0.00 |
| 2019 |
38 |
$0.00 |
| 2021 |
195 |
$799.96 |
| 2022 |
16 |
$0.00 |
| 2024 |
76 |
$54.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
39 |
38 |
$781.96 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$54.55 |
| V2756 |
Eye glass case |
25 |
24 |
$18.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
24 |
$0.00 |
| S9999 |
Sales tax |
195 |
125 |
$0.00 |
| V2025 |
Deluxe frame |
24 |
24 |
$0.00 |
| 92015 |
Determination of refractive state |
59 |
59 |
$0.00 |