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    OpenPayerNPI Medicare & MedicaidKellen Kashiwa
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    Kellen Kashiwa — Billing Profile & Reimbursement Data

    NPI 1508191685 · Honolulu, HI · Optometrist

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    Kellen Kashiwa is a optometrist provider located in Honolulu, Hawaii. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKellen Kashiwa
    Address1620 Ala Moana Blvd
    CityHonolulu
    StateHI
    ZIP96815
    TaxonomyOptometrist
    NPI EnumeratedOctober 7, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$784.8K
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $784.8K and there is none (no Medicaid billing on file), so payer mix is highly concentrated on Medicare with no Medicaid activity to offset that exposure. The absence of Medicaid billing suggests the practice’s patient panel and reimbursement strategy are oriented toward Medicare beneficiaries rather than dual-eligible or state-covered populations.

    Medicare revenue is highly concentrated in a very small set of services: the precomputed top three Medicare codes account for 80.9% of this provider's total Medicare revenue. The three drivers are 65778 ($425K, 54.1% of total Medicare revenue), 92014 ($175.9K, 22.4%), and 92012 ($34.2K, 4.4%), indicating that a handful of procedures and exam codes dominate earnings.

    The code mix points to a specialized practice model emphasizing ocular surface procedures and high-volume clinical exams plus diagnostic testing. 65778 (amniotic membrane placement) is the single largest revenue source and is a procedure-oriented code, while 92014 and 92012 are comprehensive and intermediate established-patient eye exams, together implying both procedural capability and frequent follow-up or chronic-care visits.

    On competitive standing, this provider ranks well above peers for several high-revenue services. 65778 ranks #15 of 592 providers nationally (97th percentile; notably above typical national volume), and 92014 ranks #266 of 35415 providers nationally (99th percentile; extreme outlier), indicating national-level prominence for those service lines rather than modest local participation.

    Diagnostic and testing services are also concentrated and frequently reported at high national percentiles, consistent with a high-throughput diagnostic operation. Examples include 92133 (92133 – $18.8K revenue; ranks #238 of 24968, 99th percentile; extreme outlier), 92082 (92082 – $18.6K revenue; ranks #6 of 1475, 100th percentile; extreme outlier), and 92273 (92273 – $26.1K revenue; ranks #122 of 1106, 89th percentile), showing above-typical to extreme volumes across imaging, visual field, and electrophysiologic testing.

    Several other imaging and documentation codes register notably above-typical national volumes, reinforcing the diagnostic-service orientation of the practice. For example, 92250 ($16.1K, ranks #740 of 25087, 97th percentile; notably above typical national volume), 92134 ($25.5K, ranks #2482 of 26868, 91st percentile; typical, unremarkable volume) and 92273 ($26.1K, ranks #122 of 1106, 89th percentile) together show a multi-modality diagnostic footprint rather than reliance on a single testing modality.

    The provider has been established on the National Provider Identifier file since 2009-10-07 (~17 years ago), which is consistent with a mature practice that has had time to build specialized services and referral flows for higher-intensity ocular procedures and diagnostics. That tenure helps explain the concentrated revenue base and high relative ranks for several specialized codes.

    From a business risk and opportunity perspective, the combination of heavy revenue concentration (80.9% from three codes) and single-payer exposure to Medicare creates both leverage and vulnerability: the practice appears well-positioned as a major provider of select high-revenue procedures and high-volume exams, but its financial performance is sensitive to changes in reimbursement, referral patterns, or utilization for those specific services. Analysts should treat this provider as a niche, Medicare-driven specialist when assessing competitive strategy or contract negotiations.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.350$1,200$425K
    92014An 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…1,950$90$175.9K
    92012For 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…480$70$34.2K
    92273The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…250$110$26.1K
    92134The 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.820$30$25.5K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…700$30$18.8K
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.550$30$18.6K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…350$50$16.4K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…640$30$16.1K
    95930The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.…210$50$10.8K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    65778110350$1,200$425.2K
    9227362070$110$22.9K
    920144220120$90$22.5K
    9201215150110$60$13.1K
    68761172070$80$11.9K
    921341215060$30$7.2K
    92082120100$30$5.5K
    9593011060$50$5K
    92083717070$50$4.6K
    92250818090$30$4.2K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kellen Kashiwa, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Farhad SafiFLOphthalmology Physician$2.9M$0
    Wendell DanforthHIOphthalmology Physician$974.5K$0
    Hale Maka Ike LLCHIOptometrist$0$920.6K
    Phillip DuranHIOptometrist$1.6K$628.6K
    Peter Hurlbut-millerHIRetina Specialist (Ophthalmology) Physician$509.4K$0
    John DickHIOphthalmology Physician$391.9K$0
    Retina Institute Of Hawaii LLCHIOphthalmology Physician$0$346.7K
    Thomas RedensLAOphthalmology Physician$83.4K$13K
    Laurie TomHIInternal Medicine Physician$53.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Kellen Kashiwa, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Waikiki HealthHIFederally Qualified Health Center (FQHC)$0$22.3M
    Wihc, LLCHIClinical Medical Laboratory$72.5K$8.6M
    Radford Y. Goto, Dmd, LLCHIDental Clinic/Center$0$1.5M
    Errol HamaratHIPsychologist$0$489.9K
    Rebecca BeardsleyHICounseling Psychologist$0$375.8K
    Center For Sight - West Oahu LLCHIOphthalmology Physician$0$365.6K
    Aaron Kaplan, Ph.d., Inc.HIClinical Psychologist$0$178.8K
    Tony TrpkovskiHIFamily Medicine Physician$156.2K$0
    Timothy KeeneHIFamily Medicine Physician$117.6K$0
    Sung S. Yang, Md, Inc.HIPrimary Care Clinic/Center$0$113.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Hawaii Distribution
    Kellen Kashiwa — 8 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii