Wally Kojima Od LLC
Wally Kojima Od LLC was paid $43K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 92250, — 36% of everything it billed.
33Billing provider infoWALLY KOJIMA OD LLC
KAILUA KONA, HI 96740
KAILUA KONA, HI 96740
33aNPI1255720223assigned 01/14/2015
33bProvider typeOptometrist
28Total paid$43K
24GClaims2,589
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Hawaii
Rank by total paid#35 of 106
Median peer was paid$7K
This provider vs. median6.4×
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 | 344 | $4K | |
| 2019 | 156 | $4K | |
| 2020 | 303 | $9K | |
| 2021 | 328 | $9K | |
| 2022 | 437 | $5K | |
| 2023 | 575 | $9K | |
| 2024incomplete | 446 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 36% | 370 | 357 | $15K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 32% | 205 | 198 | $14K |
| 92015 | Determination of refractive state | 21% | 1,693 | 1,260 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 99 | 95 | $5K |
| S9999 | Sales tax | 0% | 180 | 141 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 42 | 42 | $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 officialKOJIMA, WALLACE (MANAGING MEMBER / OWNER)