Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VISION CARE CENTER OF HAWAII LLC

NPI: 1790442812 · WAIPAHU, HI 96797 · 152W00000X

$34K
Total Medicaid Paid
2,670
Total Claims
2,482
Beneficiaries
14
Codes Billed
2022-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,170 $17K
2023 664 $7K
2024 836 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92250 418 389 $9K
92014 285 265 $5K
92015 861 797 $5K
V2020 Vision svcs frames purchases 92 83 $4K
92004 135 129 $4K
V2025 Eyeglasses delux frames 383 367 $3K
99214 15 14 $989.38
V2784 Lens polycarb or equal 87 81 $942.50
92340 30 26 $621.46
V2100 Lens spher single plano 4.00 231 224 $591.16
V2103 Spherocylindr 4.00d/12-2.00d 21 12 $436.92
92134 12 12 $331.75
99213 18 13 $253.48
V2756 Eye glass case 82 70 $113.91