Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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KAILUA KONA
› ISLAND EYE CARE, INC
ISLAND EYE CARE, INC
NPI: 1902085129 · KAILUA KONA, HI 96740 ·
207W00000X
$51K
Total Medicaid Paid
1,314
Total Claims
1,115
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-01
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
657
$23K
2019
641
$27K
2020
16
$831.92
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92012
459
355
$18K
92014
298
271
$16K
99203
137
128
$9K
92083
131
116
$5K
92015
146
133
$2K
92250
14
12
$536.65
83861
24
12
$430.44
92133
15
12
$389.19
S9999
Sales tax
45
35
$62.20
V2756
Eye glass case
45
41
$59.04