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Lily H Kim, OD

Optometry · Berkeley

NPI 1780655464

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
6
2 carriers
Office
1

Offices

1 location · Regents of the University of California at Berkeley · 57 clinicians in this group

Looking this up.

Plans that list them

6 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kim’s office at (510) 642-2020 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

6 of 6 plans

Plans whose provider directory lists this clinician
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

Original Medicare doctor bills

$2,709

Medicare paid this office $2,709 for 22 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

22 Original Medicare patients in 2024. Average age 78 · Health risk score 1.18. Above the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 75%.

The office billed $5,194, Medicare allowed $4,147 and paid $2,709; for 35 services of 14 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20242235781.18$5,194$2,709
20231523761.54$3,442$1,929
20221926771.55$4,081$2,410
20213796762.13$16,490$7,628
20201737741.47$5,825$2,466
20192557721.12$7,572$3,404
201851113741.24$16,002$7,577
201751120761.21$16,341$8,649
201682189761.30$26,034$14,729
201586282761.26$37,254$21,947
2014100292741.04$37,211$23,438
2013112320741.21$40,390$26,513

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2021: 2 services

Original Medicare services billed in 2021
New patient complete exam of visual system13$1,630$125
Photography of the retina19$796$40

2019: 1 service

Original Medicare services billed in 2019
Established patient complete exam of visual system13$1,083$83

2018: 4 services

Original Medicare services billed in 2018
Established patient complete exam of visual system26$2,426$87
New patient complete exam of visual system11$1,329$121
Photography of the retina22$1,177$51
Short return visit (20+ min)15$1,041$50

2017: 3 services

Original Medicare services billed in 2017
Established patient complete exam of visual system25$2,431$97
Short return visit (20+ min)21$1,861$58
Photography of the retina13$814$63

2016: 5 services

Original Medicare services billed in 2016
Established patient complete exam of visual system35$3,908$112
Short return visit (20+ min)23$3,351$63
Established patient problem focused exam of visual system24$2,152$77
New patient complete exam of visual system11$1,511$137
Imaging of optic nerve15$637$40

2015: 8 services

Original Medicare services billed in 2015
Established patient complete exam of visual system47$5,521$113
Short return visit (20+ min)35$4,736$67
Established patient problem focused exam of visual system19$2,002$80
Exam of visual field with extended testing22$1,722$64
Return visit (30+ min)12$1,391$99
Photography of the retina17$1,365$80
Imaging of optic nerve25$1,161$41
Imaging of retina13$604$43

2014: 7 services

Original Medicare services billed in 2014
Established patient complete exam of visual system47$6,099$117
Established patient problem focused exam of visual system39$5,349$82
Short return visit (20+ min)26$3,201$67
Exam of visual field with extended testing30$2,128$63
Return visit (30+ min)17$1,933$97
Photography of the retina14$1,114$80
Imaging of optic nerve20$874$42

2013: 6 services

Original Medicare services billed in 2013
Established patient problem focused exam of visual system57$8,944$81
Established patient complete exam of visual system54$7,001$121
Exam of visual field with extended testing32$2,233$64
New patient complete exam of visual system15$2,161$144
Photography of the retina20$1,661$72
Short return visit (20+ min)19$1,370$62

Medicaid work

$0 in 2022

Medicaid paid $0 for 12 billed services this clinician did in 2022, up to 12 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2022
New patient visit (45+ min)12$0
Medicaid work by year
202212112$0

Money from drug and device companies

$194 in 2025

Industry payments by year
202524None$194
2024514None$504
202336None$447
202239None$547
202123None$43
202044None$79
201923None$196

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
CooperVisionClariti Contact Lens$169
3 payments
  • Meals for Clariti Contact Lens · 2025-09-30 · $94
  • Meals for Myday Contact Lens · 2025-04-09 · $9
  • Meals for Paragon Crt · 2025-03-06 · $66
Johnson & Johnson Vision CareNone$25
1 payment
  • Meals · 2025-04-29 · $25
See all 4 published payments
Every published payment
CooperVisionMeals · 2025-09-30Clariti Contact Lens$94
Johnson & Johnson Vision CareMeals · 2025-04-29None$25
CooperVisionMeals · 2025-04-09Myday Contact Lens$9
CooperVisionMeals · 2025-03-06Paragon Crt$66
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $504

Payments by company in 2024
CooperVisionMyday Contact Lens$183
8 payments
  • Meals for Myday Contact Lens · 2024-12-03 · $24
  • Meals for Myday Contact Lens · 2024-12-03 · $7
  • Meals for Myday Contact Lens · 2024-06-24 · $7
  • Meals for Myday Contact Lens · 2024-06-12 · $101
  • Meals for Myday Contact Lens · 2024-05-24 · $6
  • Meals for Myday Contact Lens · 2024-02-28 · $7
  • Meals for Paragon Crt · 2024-02-06 · $25
  • Meals for Myday Contact Lens · 2024-01-30 · $6
Johnson & Johnson Vision CareAcuvue$130
1 payment
  • Meals for Acuvue · 2024-03-05 · $130
AmgenTepezza$97
1 payment
  • Meals for Tepezza · 2024-01-25 · $97
StrykerNico Brainpath$51
2 payments
  • Meals for Nico Brainpath · 2024-09-29 · $25
  • Meals for Nico Brainpath · 2024-09-29 · $25
Alcon VisionTotal30$43
2 payments
  • Meals for Rocklatan · 2024-11-19 · $20
  • Meals for Total30 · 2024-05-29 · $23

2023: $447

Payments by company in 2023
Johnson & Johnson Vision CareAcuvue$322
4 payments
  • Meals for Axert · 2023-12-18 · $31
  • Meals for Acuvue · 2023-11-27 · $129
  • Meals for Acuvue · 2023-05-17 · $150
  • Meals for Acuvue · 2023-01-20 · $12
Alcon VisionDailies$101
1 payment
  • Meals for Dailies · 2023-01-31 · $101
CooperVisionParagon Crt$24
1 payment
  • Meals for Paragon Crt · 2023-04-04 · $24

2022: $547

Payments by company in 2022
Johnson & Johnson Vision CareAcuvue$390
6 payments
  • Meals for Acuvue · 2022-09-20 · $22
  • Meals for Acuvue · 2022-08-30 · $133
  • Meals for Acuvue · 2022-08-04 · $9
  • Meals for Acuvue · 2022-05-24 · $125
  • Meals for Acuvue · 2022-03-29 · $33
  • Meals for Acuvue · 2022-03-02 · $68
CooperVisionMyday Contact Lens$123
2 payments
  • Meals for Myday Contact Lens · 2022-03-01 · $117
  • Meals for Multiple Brands Contact Lens · 2022-03-01 · $6
BioTissue HoldingsProkera$34
1 payment
  • Meals for Prokera · 2022-06-06 · $34

2021: $43

Payments by company in 2021
Johnson & Johnson Vision CareAcuvue$29
2 payments
  • Meals for Acuvue · 2021-08-24 · $15
  • Meals for Acuvue · 2021-01-25 · $15
TissuetechProkera$14
1 payment
  • Meals for Prokera · 2021-12-23 · $14

2020: $79

Payments by company in 2020
IvantisHydrus$27
1 payment
  • Meals for Hydrus · 2020-01-08 · $27
Johnson & Johnson Vision CareAcuvue$18
1 payment
  • Meals for Acuvue · 2020-12-15 · $18
CooperVisionMultiple Brands Contact Lens$18
1 payment
  • Meals for Multiple Brands Contact Lens · 2020-02-05 · $18
Carl Zeiss Meditec AGNone Specified$17
1 payment
  • Gift for None Specified · 2020-04-03 · $17

2019: $196

Payments by company in 2019
Visioneering TechnologiesNone$180
2 payments
  • Meals · 2019-05-02 · $3
  • Meals · 2019-03-13 · $176
Johnson & Johnson Vision CareAcuvue$16
1 payment
  • Meals for Acuvue · 2019-07-01 · $16

Professional record

NPI
1780655464
Licence
CA 10347TPG
Trained
University of California - School of Optometry, 1994
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA SD0103470
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
2366 El Camino Real, Ste 5, Santa Clara, CA, 95050
NPI first listed
2006-01-30
NPI last updated
2014-07-03

This is when the NPI record was last certified, not a medical board exam.