Premier Vision LLC
Premier Vision LLC was paid $38K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is V2020, Frames, purchases — 55% of everything it billed.
33Billing provider infoPREMIER VISION LLC
WAILUKU, HI 96793
WAILUKU, HI 96793
33aNPI1134274590assigned 01/24/2007
33bProvider typeOptometrist
28Total paid$38K
24GClaims1,957
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Hawaii
Rank by total paid#39 of 106
Median peer was paid$7K
This provider vs. median5.6×
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 | 530 | $7K | |
| 2019 | 623 | $15K | |
| 2020 | 214 | $6K | |
| 2021 | 326 | $9K | |
| 2022 | 86 | $426.60 | |
| 2023 | 132 | $583.79 | |
| 2024incomplete | 46 | $200.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 55% | 353 | 345 | $21K |
| 92015 | Determination of refractive state | 20% | 733 | 722 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 141 | 140 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.6% | 52 | 52 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.6% | 14 | 14 | $995.29 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.5% | 27 | 27 | $945.00 |
| V2756 | Eye glass case | 2.3% | 598 | 580 | $861.07 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 13 | 13 | $604.80 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 12 | 12 | $71.96 |
| V2025 | Deluxe frame | 0% | 14 | 13 | $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 officialICHIYAMA-KONG, COLLEEN (OPTOMETRIST)