Pacific Star . INC
Pacific Star . INC was paid $337K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is V2020, Frames, purchases — 38% of everything it billed.
33Billing provider infoPACIFIC STAR . INC
HONOLULU, HI 96814
HONOLULU, HI 96814
33aNPI1598802712assigned 01/30/2007
33bProvider typeContact Lens Fitter
28Total paid$337K
24GClaims11,017
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
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 | 2,128 | $88K | |
| 2019 | 2,411 | $90K | |
| 2020 | 1,474 | $44K | |
| 2021 | 2,062 | $76K | |
| 2022 | 1,009 | $10K | |
| 2023 | 1,047 | $12K | |
| 2024incomplete | 886 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 38% | 4,042 | 3,636 | $126K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 17% | 1,473 | 1,283 | $57K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 795 | 656 | $47K |
| 92341 | 11% | 1,466 | 1,358 | $39K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 1,391 | 1,305 | $34K |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 5.1% | 370 | 248 | $17K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.3% | 383 | 366 | $14K |
| V2206 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens | <1% | 32 | 14 | $1K |
| V2106 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens | <1% | 30 | 14 | $806.80 |
| V2025 | Deluxe frame | <1% | 299 | 297 | $275.00 |
| V2760 | Scratch resistant coating, per lens | <1% | 36 | 17 | $122.82 |
| V2756 | Eye glass case | <1% | 39 | 38 | $57.00 |
4 more codes
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 officialKIM, KENNY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kenny Young Kim DDS INC | Lakewood, CA | $123K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.