GRANT T MIYASHIRO OD LLC
NPI: 1225005325
· HILO, HI 96720
· 152W00000X
$551K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,321 |
$128K |
| 2019 |
7,116 |
$206K |
| 2020 |
6,248 |
$217K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
2,641 |
2,547 |
$105K |
| 92250 |
|
3,015 |
2,853 |
$100K |
| V2020 |
Vision svcs frames purchases |
1,664 |
1,523 |
$91K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,501 |
1,379 |
$65K |
| 92004 |
|
840 |
797 |
$43K |
| V2784 |
Lens polycarb or equal |
793 |
743 |
$39K |
| 92015 |
|
3,786 |
3,620 |
$31K |
| 92340 |
|
1,478 |
1,357 |
$26K |
| 92134 |
|
507 |
477 |
$15K |
| 95930 |
|
274 |
265 |
$13K |
| 92273 |
|
74 |
64 |
$4K |
| 92225 |
|
388 |
208 |
$4K |
| V2756 |
Eye glass case |
2,176 |
1,979 |
$2K |
| 92275 |
|
41 |
39 |
$2K |
| 92012 |
|
74 |
64 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
25 |
20 |
$2K |
| 92284 |
|
34 |
32 |
$2K |
| V2025 |
Eyeglasses delux frames |
99 |
84 |
$2K |
| 92202 |
|
129 |
124 |
$1K |
| 99213 |
|
15 |
13 |
$511.42 |
| 92083 |
|
12 |
12 |
$504.31 |
| 92341 |
|
19 |
16 |
$499.35 |
| 92133 |
|
12 |
12 |
$439.98 |
| 92285 |
|
16 |
15 |
$223.22 |
| V2750 |
Anti-reflective coating |
48 |
42 |
$62.63 |
| 99072 |
|
24 |
24 |
$0.00 |