Supplier
Eyewear Kona
Eyewear Kona was paid $2K by Medicaid between Mar 2018 and Jun 2021, across 7 billing codes. Its largest line is V2025, Deluxe frame — 44% of everything it billed.
33Billing provider infoEYEWEAR KONA
KAILUA KONA, HI 96740
KAILUA KONA, HI 96740
33aNPI1093263162assigned 09/16/2016
33bProvider typeCustomized Equipment (DME)
28Total paid$2K
24GClaims1,063
24DCodes billed7
24AFirst – last monthMar 2018 – Jun 2021
Compared with peers
Next to other Customized Equipment (DME) providers in Hawaii
Rank by total paid#4 of 7
Median peer was paid$2K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 115 | $2K | |
| 2019 | 363 | $0.00 | |
| 2020 | 481 | $0.00 | |
| 2021 | 104 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 44% | 20 | 19 | $715.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 43% | 18 | 16 | $693.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13% | 148 | 84 | $201.20 |
| V2020 | Frames, purchases | 0% | 387 | 284 | $0.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 106 | 83 | $0.00 |
| V2756 | Eye glass case | 0% | 362 | 288 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 22 | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTHOMPSON, DARCY (CEO)