Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1134112840assigned 08/26/2005
28Total paid$1.18M
24GClaims51,613
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20188,947$225K
201910,041$268K
20205,589$101K
20217,808$144K
20227,391$173K
20236,331$127K
2024incomplete5,506$146K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)