SAMUEL C H LO MD & JONATHAN LO MD A PROF CORP
NPI: 1629137757
· HONOLULU, HI 96814
· 207W00000X
$828K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,605 |
$159K |
| 2019 |
7,499 |
$146K |
| 2020 |
4,410 |
$89K |
| 2021 |
4,255 |
$123K |
| 2022 |
3,864 |
$114K |
| 2023 |
4,001 |
$105K |
| 2024 |
2,452 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
4,968 |
4,755 |
$228K |
| 92083 |
|
2,250 |
2,186 |
$110K |
| 92134 |
|
4,163 |
3,925 |
$81K |
| 92012 |
|
3,335 |
2,996 |
$78K |
| V2201 |
Lens sphere bifocal 4.12-7.0 |
627 |
511 |
$62K |
| 92015 |
|
4,380 |
4,147 |
$56K |
| V2020 |
Vision svcs frames purchases |
703 |
656 |
$52K |
| 92004 |
|
619 |
581 |
$40K |
| 92250 |
|
988 |
938 |
$38K |
| 92341 |
|
701 |
670 |
$25K |
| 92020 |
|
1,382 |
1,308 |
$20K |
| 92133 |
|
898 |
870 |
$18K |
| 66761 |
|
33 |
25 |
$7K |
| 99214 |
|
113 |
112 |
$5K |
| 99213 |
|
98 |
93 |
$3K |
| 76514 |
|
422 |
404 |
$2K |
| V2756 |
Eye glass case |
1,035 |
991 |
$2K |
| V2101 |
Single visn sphere 4.12-7.00 |
14 |
13 |
$1K |
| V2784 |
Lens polycarb or equal |
13 |
12 |
$1K |
| G9903 |
Pt scrn tbco id as non user |
1,775 |
1,480 |
$1.04 |
| 1036F |
|
4,532 |
3,842 |
$0.03 |
| G8482 |
Flu immunize order/admin |
425 |
376 |
$0.01 |
| 4004F |
|
93 |
74 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
330 |
330 |
$0.00 |
| 2022F |
|
41 |
28 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
148 |
148 |
$0.00 |