Supplier
Fort Lee Vision LLC
Fort Lee Vision LLC was paid $312.00 by Medicaid between Jun 2019 and Oct 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 100% of everything it billed.
33Billing provider infoFORT LEE VISION LLC
FORT LEE, NJ 07024
FORT LEE, NJ 07024
33aNPI1003144833assigned 12/07/2009
33bProvider typeEyewear Supplier
28Total paid$312.00
24GClaims3,595
24DCodes billed7
24AFirst – last monthJun 2019 – Oct 2024
Compared with peers
Next to other Eyewear Supplier providers in New Jersey
Rank by total paid#55 of 70
Median peer was paid$25K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 483 | $208.00 | |
| 2020 | 801 | $78.00 | |
| 2021 | 1,032 | $26.00 | |
| 2022 | 504 | $0.00 | |
| 2023 | 561 | $0.00 | |
| 2024incomplete | 214 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 100% | 577 | 567 | $312.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 654 | 320 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 216 | 216 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 896 | 440 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 60 | 30 | $0.00 |
| V2020 | Frames, purchases | 0% | 600 | 593 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 592 | 291 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKIM, DIANE (O.D./OWNER)
| Provider | Location | Paid |
|---|---|---|
| Diane Kim DDS PLLC | Humble, TX | $31K |
| Giao Q Duong MD PA | Houston, TX | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.