Kauai Optometric Center LLC
Kauai Optometric Center LLC was paid $71K by Medicaid between Jan 2018 and Jul 2022, across 8 billing codes. Its largest line is V2020, Frames, purchases — 37% of everything it billed.
33Billing provider infoKAUAI OPTOMETRIC CENTER LLC
KAPAA, HI 96746
KAPAA, HI 96746
33aNPI1720377195assigned 04/06/2011
33bProvider typeOptometrist
28Total paid$71K
24GClaims3,236
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Optometrist providers in Hawaii
Rank by total paid#29 of 106
Median peer was paid$7K
This provider vs. median11×
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 | 783 | $9K | |
| 2019 | 816 | $24K | |
| 2020 | 603 | $17K | |
| 2021 | 691 | $20K | |
| 2022 | 343 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 37% | 583 | 560 | $27K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 17% | 347 | 337 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 426 | 410 | $10K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 252 | 246 | $8K |
| 92015 | Determination of refractive state | 11% | 880 | 854 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.9% | 124 | 118 | $6K |
| V2756 | Eye glass case | <1% | 590 | 571 | $703.59 |
| V2025 | Deluxe frame | 0% | 34 | 34 | $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 officialBELISLE, GLENN (OWNER)