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    OpenPayerNPI Medicare & MedicaidJason Tokunaga
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    Jason Tokunaga — Billing Profile & Reimbursement Data

    NPI 1558463794 · Honolulu, HI · Ophthalmology Physician

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    Jason Tokunaga is a ophthalmology physician provider located in Honolulu, Hawaii. This profile covers 26 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
    OrganizationJason Tokunaga
    Address1029 Kapahulu Ave Ste 502
    CityHonolulu
    StateHI
    ZIP96816
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$568.9K
    Medicaid$0

    Key Findings

    JASON TOKUNAGA is an Ophthalmology Physician in HONOLULU, HI, with NPI enumeration dated 2006-09-01 (~20 years ago). His lifetime Medicare revenue on file is $568.9K and there is no Medicaid billing on file, indicating an effectively single-payer billing footprint centered on Medicare.

    Revenue is highly concentrated in a small set of ophthalmology services: the precomputed top 3 Medicare codes account for 49.9% of this provider's Medicare revenue. The three leading codes are 92014 (25.6% of Medicare revenue, $145.3K), 66984 (13.0%, $73.9K), and 92273 (11.3%, $64.1K), which together drive roughly half of billed Medicare dollars.

    The code mix points to a practice that couples high-volume office-based ophthalmic evaluation with both diagnostic testing and surgical cataract services. 92014 (1.5K claims, $97 avg paid/claim, $145.3K revenue) is the single largest revenue contributor and reflects heavy throughput of comprehensive established-patient eye examinations, while 66984 (173 claims, $427 avg paid/claim, $73.9K) shows a meaningful cataract surgery line.

    Diagnostic and specialized testing are prominent revenue drivers independent of surgery: 92273 (583 claims, $110 avg paid/claim, $64.1K) is a top-3 revenue code reflecting electrophysiologic retinal testing, and multiple imaging/visual-field codes such as 92083 (722 claims, $36.1K) and 92133 (753 claims, $21.8K) also contribute materially. This pattern suggests investment in diagnostic equipment and a workflow that captures billable testing alongside clinic visits.

    Competitive standing vs. national Medicare peers is uneven by code: 92014 ranks #624 of 35415 providers nationally (98th percentile; extreme outlier), and 92083 ranks #237 of 25484 (99th percentile; extreme outlier), indicating unusually high national volumes for those exam/visual-field services. By contrast, 66984 (cataract extraction with IOL) ranks #5929 of 15965 (63th percentile; typical, unremarkable volume), so the provider is a national outlier in diagnostic/exam volumes but only a typical participant in cataract surgery volume.

    Office visit complexity and new-patient throughput are significant contributors to revenue as well: 99214 accounts for $57.3K (585 claims) and ranks #37213 of 479517 providers nationally (92th percentile; typical, unremarkable volume), while 99204 (238 claims, $30.5K) ranks #2861 of 227068 (99th percentile; extreme outlier). These E/M patterns indicate steady moderate-complexity established-patient care plus a notable number of higher-complexity new-patient encounters.

    The absence of any Medicaid billing on file ("none below") means the provider is effectively single-payer from a claims perspective, relying on Medicare for the entire recorded public-payer revenue stream. That concentration has operational and payer-risk implications for network contracting and population-access analyses, since no Medicaid activity is recorded to offset Medicare reliance.

    Beyond the top-3 drivers, several ancillary ophthalmic procedures show elevated national ranks (for example, 92273 ranks #21 of 1106 providers nationally, 98th percentile; notably above typical), reinforcing that this practice specializes in high-volume diagnostic testing. These ancillary yet high-ranked services amplify the business profile as a diagnostics-heavy ophthalmology practice rather than a surgery-dominant group.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,500$100$145.3K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…170$430$73.9K
    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…580$110$64.1K
    99214The 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…590$100$57.3K
    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…720$50$36.1K
    99204The provider sees a new 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 provider…240$130$30.5K
    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,…770$30$23.1K
    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…750$30$21.8K
    92020The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…650$20$14.9K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.80$190$14.4K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984177060$640$88.9K
    6617471040$1,000$48.9K
    9227312070$110$22.9K
    920145220120$90$22.5K
    99214891,440100$80$15.2K
    9201290150110$60$13.1K
    68761112070$80$11.9K
    66821165030$260$11.6K
    992136621,46070$60$8.4K
    65855111030$160$8.3K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aloha Vision Consultants IncHIOphthalmologic Surgery Clinic/Center$0$683.4K
    Carlton YuenHIOphthalmology Physician$495.9K$0
    Julie Ann KomoHIOptometrist$57.2K$0
    Joanne RigdonHIOptometrist$56K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergency Medical Services System Hawaii Dept Of HealthHILand Ambulance$3.1M$32.4M
    The Arc In HawaiiHIVoluntary or Charitable Agency$0$12.7M
    State Of Hawaii Department Of EducationHILocal Education Agency (LEA)$0$10.1M
    Special Education Center Of HawaiiHIDevelopmentally Disabled Services Day Training Agency$0$9.4M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.6M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Usrc Kapahulu, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.8M
    Allen K. Hirai Dds LLCHIPediatric Dentistry$0$1.7M
    Kahala Childrens Medical Group LLCHIPediatrics Physician$0$1.4M
    Pedodontic Associates IncHIPediatric Dentistry$0$978.7K

    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
    Jason Tokunaga — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii