Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WALLY KOJIMA OD LLC

NPI: 1255720223 · KAILUA KONA, HI 96740 · Optometrist · NPI assigned 01/14/2015

$43K
Total Medicaid Paid
2,589
Total Claims
2,093
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKOJIMA, WALLACE (MANAGING MEMBER / OWNER)
NPI Enumeration Date01/14/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 344 $4K
2019 156 $4K
2020 303 $9K
2021 328 $9K
2022 437 $5K
2023 575 $9K
2024 446 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92250 370 357 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 205 198 $14K
92015 Determination of refractive state 1,693 1,260 $9K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 99 95 $5K
S9999 Sales tax 180 141 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 42 42 $0.00