Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Aloha Eye Clinic, LTD.

Aloha Eye Clinic, LTD. was paid $943K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.

33Billing provider infoALOHA EYE CLINIC, LTD.
WAILUKU, HI 96793
33aNPI1447298344assigned 06/03/2006
33bProvider typeOptometrist
28Total paid$943K
24GClaims34,526
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Hawaii

Rank by total paid#1 of 106
Median peer was paid$7K
This provider vs. median140×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,205$124K
20195,028$175K
20204,370$153K
20215,430$186K
20225,125$99K
20234,999$107K
2024incomplete5,369$97K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 38% 7,490 6,954 $358K
V2020 Frames, purchases 14% 2,244 2,077 $136K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 10% 1,462 1,375 $98K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 10% 2,023 1,701 $96K
92015 Determination of refractive state 9.6% 9,660 8,582 $91K
92340 Fitting of spectacles, except for aphakia; monofocal 5.0% 1,759 1,653 $47K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.6% 346 304 $25K
V2784 Lens, polycarbonate or equal, any index, per lens 2.5% 641 596 $24K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.5% 619 532 $23K
99072 1.4% 824 755 $13K
92134 1.4% 521 485 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 89 79 $6K
10 more codes
V2756 Eye glass case <1% 3,704 $6K
V2025 Deluxe frame <1% 1,095 $4K
67028 Intravitreal injection of a pharmacologic agent <1% 21 $2K
92136 <1% 20 $643.74
92310 <1% 27 $283.32
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 690 $210.99
S9999 Sales tax <1% 1,034 $26.10
V2750 Anti-reflective coating, per lens 0% 188 $0.00
V2760 Scratch resistant coating, per lens 0% 25 $0.00
V2755 U-v lens, per lens 0% 44 $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 officialTANTISIRA, JIVIN (PRESIDENT)
Same official

Other billing entities under TANTISIRA, JIVIN

Full network →
ProviderLocationPaid
Aloha Eye Clinic Surgical Center LLCWailuku, HI$35K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.