Clinic
Pacific Eye Surgery Center, INC.
Pacific Eye Surgery Center, INC. was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 28% of everything it billed.
33Billing provider infoPACIFIC EYE SURGERY CENTER, INC.
HONOLULU, HI 96819
HONOLULU, HI 96819
33aNPI1134112840assigned 08/26/2005
33bProvider typeOphthalmologic Surgery Clinic/Center
28Total paid$1.18M
24GClaims51,613
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
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 | 8,947 | $225K | |
| 2019 | 10,041 | $268K | |
| 2020 | 5,589 | $101K | |
| 2021 | 7,808 | $144K | |
| 2022 | 7,391 | $173K | |
| 2023 | 6,331 | $127K | |
| 2024incomplete | 5,506 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 28% | 13,799 | 12,933 | $332K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 4,897 | 4,813 | $186K |
| 92250 | 13% | 6,252 | 6,124 | $153K | |
| V2020 | Frames, purchases | 7.5% | 1,853 | 1,733 | $88K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.5% | 1,521 | 1,489 | $77K |
| 92083 | 6.1% | 2,755 | 2,699 | $73K | |
| 92015 | Determination of refractive state | 6.0% | 6,863 | 6,720 | $71K |
| 92134 | 3.8% | 3,059 | 2,999 | $45K | |
| 83861 | 2.6% | 3,875 | 2,143 | $31K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.3% | 704 | 642 | $27K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.0% | 376 | 287 | $23K |
| 92133 | 1.7% | 996 | 982 | $20K |
9 more codes
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.4% | 339 | $17K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.0% | 554 | $12K |
| 92341 | <1% | 296 | $9K | |
| 92225 | <1% | 344 | $6K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 43 | $5K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 13 | $5K |
| V2756 | Eye glass case | <1% | 2,717 | $4K |
| 92226 | <1% | 139 | $2K | |
| V2025 | Deluxe frame | 0% | 218 | $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 officialPANG, M. PIERRE (PRESIDENT)