Duran, Phillip
Duran, Phillip was paid $627K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 22% of everything it billed.
33Billing provider infoDURAN, PHILLIP
HONOLULU, HI 96815
HONOLULU, HI 96815
33aNPI1639433006assigned 06/29/2012
33bProvider typeOptometrist
28Total paid$627K
24GClaims25,164
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Hawaii
Rank by total paid#4 of 106
Median peer was paid$7K
This provider vs. median93×
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 | 8,551 | $198K | |
| 2019 | 6,885 | $145K | |
| 2020 | 4,016 | $107K | |
| 2021 | 1,351 | $46K | |
| 2022 | 1,393 | $44K | |
| 2023 | 823 | $26K | |
| 2024incomplete | 2,145 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 3,033 | 2,993 | $136K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 3,013 | 2,972 | $134K |
| V2020 | Frames, purchases | 21% | 5,854 | 5,725 | $132K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 12% | 2,662 | 2,586 | $74K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 4,271 | 4,219 | $73K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.5% | 2,449 | 2,417 | $34K |
| 92015 | Determination of refractive state | 2.2% | 705 | 672 | $13K |
| V2025 | Deluxe frame | 1.5% | 600 | 596 | $9K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 305 | 303 | $4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 73 | 73 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,740 | 1,711 | $4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 121 | 116 | $3K |
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.