Physician
Nancy Chen, MD, INC
Nancy Chen, MD, INC was paid $221K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoNANCY CHEN, MD, INC
KAPOLEI, HI 96707
KAPOLEI, HI 96707
33aNPI1326235169assigned 09/25/2007
33bProvider typeOphthalmology Physician
28Total paid$221K
24GClaims8,219
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Hawaii
Rank by total paid#13 of 40
Median peer was paid$50K
This provider vs. median4.4×
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 | 1,673 | $56K | |
| 2019 | 1,579 | $27K | |
| 2020 | 1,082 | $20K | |
| 2021 | 1,106 | $32K | |
| 2022 | 568 | $14K | |
| 2023 | 1,155 | $33K | |
| 2024incomplete | 1,056 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 41% | 1,961 | 1,881 | $91K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 28% | 1,809 | 1,576 | $62K |
| 92015 | Determination of refractive state | 11% | 2,860 | 2,551 | $24K |
| 92250 | 8.7% | 603 | 567 | $19K | |
| V2020 | Frames, purchases | 5.0% | 221 | 208 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.7% | 160 | 156 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 84 | 80 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 75 | 67 | $2K |
| 99072 | <1% | 64 | 54 | $1K | |
| V2756 | Eye glass case | <1% | 367 | 345 | $466.32 |
| V2025 | Deluxe frame | <1% | 15 | 15 | $110.00 |
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 officialCHEN, NANCY (PRESIDENT)