RETINA INSTITUTE OF HAWAII LLC
NPI: 1801859871
· KAILUA KONA, HI 96740
· 152W00000X
$348K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,403 |
$52K |
| 2019 |
1,264 |
$49K |
| 2020 |
71 |
$4K |
| 2021 |
732 |
$27K |
| 2022 |
357 |
$6K |
| 2023 |
65 |
$2K |
| 2024 |
5,390 |
$208K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,338 |
3,054 |
$174K |
| 92134 |
|
2,068 |
1,885 |
$48K |
| 92250 |
|
1,210 |
1,128 |
$40K |
| 92004 |
|
278 |
264 |
$22K |
| V2020 |
Vision svcs frames purchases |
341 |
294 |
$14K |
| 92082 |
|
363 |
342 |
$10K |
| 92012 |
|
245 |
206 |
$8K |
| 99204 |
|
84 |
75 |
$7K |
| 67028 |
|
53 |
38 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
420 |
218 |
$6K |
| 92340 |
|
117 |
107 |
$3K |
| 92083 |
|
79 |
77 |
$3K |
| 92133 |
|
145 |
133 |
$2K |
| 92015 |
|
340 |
313 |
$2K |
| J7999 |
Compounded drug, noc |
30 |
24 |
$1K |
| 83861 |
|
31 |
20 |
$509.56 |
| V2200 |
Lens spher bifoc plano 4.00d |
15 |
13 |
$0.00 |
| V2784 |
Lens polycarb or equal |
13 |
13 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
77 |
77 |
$0.00 |
| S9999 |
Sales tax |
35 |
33 |
$0.00 |