Kale, Timothy
Kale, Timothy was paid $104K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is 92250, — 26% of everything it billed.
33Billing provider infoKALE, TIMOTHY
KEALAKEKUA, HI 96750
KEALAKEKUA, HI 96750
33aNPI1730387804assigned 07/10/2007
33bProvider typeOptometrist
28Total paid$104K
24GClaims3,418
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Hawaii
Rank by total paid#23 of 106
Median peer was paid$7K
This provider vs. median15×
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 | 459 | $19K | |
| 2019 | 270 | $10K | |
| 2020 | 376 | $12K | |
| 2021 | 501 | $18K | |
| 2022 | 855 | $20K | |
| 2023 | 542 | $13K | |
| 2024incomplete | 415 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 26% | 589 | 555 | $26K | |
| 92083 | 23% | 572 | 541 | $24K | |
| V2020 | Frames, purchases | 17% | 239 | 212 | $18K |
| 92134 | 11% | 291 | 285 | $11K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.3% | 230 | 219 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.3% | 134 | 131 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 126 | 110 | $4K |
| 92015 | Determination of refractive state | 2.8% | 943 | 657 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.6% | 69 | 63 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 28 | 12 | $681.60 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 26 | 12 | $660.79 |
| 92225 | <1% | 15 | 15 | $296.34 |
3 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.