PACIFIC EYE SURGERY CENTER, INC.
NPI: 1134112840
· HONOLULU, HI 96819
· 261QS0132X
$1.18M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
5,506 |
$146K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
|
13,799 |
12,933 |
$332K |
| 92014 |
|
4,897 |
4,813 |
$186K |
| 92250 |
|
6,252 |
6,124 |
$153K |
| V2020 |
Vision svcs frames purchases |
1,853 |
1,733 |
$88K |
| 92004 |
|
1,521 |
1,489 |
$77K |
| 92083 |
|
2,755 |
2,699 |
$73K |
| 92015 |
|
6,863 |
6,720 |
$71K |
| 92134 |
|
3,059 |
2,999 |
$45K |
| 83861 |
|
3,875 |
2,143 |
$31K |
| V2100 |
Lens spher single plano 4.00 |
704 |
642 |
$27K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
376 |
287 |
$23K |
| 92133 |
|
996 |
982 |
$20K |
| V2784 |
Lens polycarb or equal |
339 |
325 |
$17K |
| 92340 |
|
554 |
530 |
$12K |
| 92341 |
|
296 |
288 |
$9K |
| 92225 |
|
344 |
174 |
$6K |
| 67028 |
|
43 |
37 |
$5K |
| 66984 |
|
13 |
12 |
$5K |
| V2756 |
Eye glass case |
2,717 |
2,595 |
$4K |
| 92226 |
|
139 |
71 |
$2K |
| V2025 |
Eyeglasses delux frames |
218 |
218 |
$0.00 |