Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Aloha Eye Clinic, Ltd. (NPI 1447298344)

Field	Value
Entity Type	Organization
Organization	Aloha Eye Clinic, Ltd.
Address	450 Hookahi St
City	Wailuku
State	HI
ZIP	96793
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$941.4K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	7,490	$50	$359.5K
V2020	Frames, purchases	2,240	$60	$136.9K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	1,460	$70	$98K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2,020	$50	$95.1K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	9,660	$10	$86.9K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	1,760	$30	$47.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	350	$70	$24.9K
V2784	Lens, polycarbonate or equal, any index, per lens	640	$40	$23.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	620	$40	$22.9K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	820	$20	$13.2K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

Claims Volume vs. Hawaii Distribution

Aloha Eye Clinic, Ltd. — 6 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	542	710	650	$90	$274.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	436	690	650	$90	$235.4K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	3	120	390	$50	$62.5K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	21	50	410	$40	$60.5K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	10	10	100	$80	$55.1K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	22	40	780	$20	$32.4K
V2020	Frames, purchases	7	90	360	$40	$29K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	6	90	140	$60	$22.1K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3	50	160	$30	$16.3K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	3	150	470	$10	$13.2K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aloha Eye Clinic, Ltd., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Lai	HI	Ophthalmology Physician	$1.4M	$0
Jivin Tantisira	HI	Ophthalmology Physician	$235.7K	$0
Gerald Carp	HI	Ophthalmology Physician	$143.3K	$0
Andrew Parlin	HI	Ophthalmology Physician	$127.1K	$0
Bradford Lee	HI	Ophthalmology Physician	$83.4K	$0
David Anzai	HI	Optometrist	$44.9K	$0

Nearby Providers

Other providers in the same ZIP code as Aloha Eye Clinic, Ltd., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maui Health System A Kaiser Foundation Hospitals LLC	HI	General Acute Care Hospital	$0	$60.3M
Community Clinic Of Maui, Inc.	HI	Community Health Clinic/Center	$0	$21.6M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.6M
Maui Medical Group Inc	HI	Internal Medicine Physician	$0	$9M
Bayada Home Care	HI	Nursing Care Agency	$0	$6M
Community Clinic Of Maui, Inc.	HI	Multi-Specialty Clinic/Center	$0	$4.8M
Maui Memorial Emergency Medical Associates Inc	HI	Emergency Medicine Physician	$0	$3.8M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.7M
Ka Lima O Maui Ltd	HI	Developmentally Disabled Services Day Training Agency	$0	$1.7M
Metropacific Group, Corp	HI	In Home Supportive Care Agency	$0	$1.3M

Aloha Eye Clinic, Ltd. — Billing Profile & Reimbursement Data

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Aloha Eye Clinic, Ltd. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References