Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Vision Care Center of Hawaii LLC

Vision Care Center of Hawaii LLC was paid $34K by Medicaid between Jan 2022 and Nov 2024, across 14 billing codes. Its largest line is 92250, — 27% of everything it billed.

33Billing provider infoVISION CARE CENTER OF HAWAII LLC
WAIPAHU, HI 96797
33aNPI1790442812assigned 11/23/2021
33bProvider typeOptometrist
28Total paid$34K
24GClaims2,670
24DCodes billed14
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers

Next to other Optometrist providers in Hawaii

Rank by total paid#40 of 106
Median peer was paid$7K
This provider vs. median5.0×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20221,170$17K
2023664$7K
2024incomplete836$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92250 27% 418 389 $9K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15% 285 265 $5K
92015 Determination of refractive state 14% 861 797 $5K
V2020 Frames, purchases 13% 92 83 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 11% 135 129 $4K
V2025 Deluxe frame 8.5% 383 367 $3K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.9% 15 14 $989.38
V2784 Lens, polycarbonate or equal, any index, per lens 2.8% 87 81 $942.50
92340 Fitting of spectacles, except for aphakia; monofocal 1.8% 30 26 $621.46
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.8% 231 224 $591.16
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.3% 21 12 $436.92
92134 <1% 12 12 $331.75
2 more codes
99213 Doctor's office visit, returning patient (routine) <1% 18 $253.48
V2756 Eye glass case <1% 82 $113.91

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 officialRAMIREZ, NATALIE (OWNER/OPTOMETRIST)