Optical Boutique LLC
Optical Boutique LLC was paid $135K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 55% of everything it billed.
33Billing provider infoOPTICAL BOUTIQUE LLC
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
33aNPI1033371331assigned 06/27/2008
33bProvider typeOptometrist
28Total paid$135K
24GClaims71,441
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#71 of 599
Median peer was paid$2K
This provider vs. median75×
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 | |
|---|---|---|---|
| 2018 | 6,230 | $36K | |
| 2019 | 7,132 | $20K | |
| 2020 | 8,346 | $16K | |
| 2021 | 10,696 | $16K | |
| 2022 | 13,865 | $13K | |
| 2023 | 14,423 | $21K | |
| 2024incomplete | 10,749 | $15K |
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 | 55% | 9,224 | 9,159 | $75K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 3,963 | 3,942 | $22K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.6% | 405 | 400 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.9% | 598 | 596 | $9K |
| 92015 | Determination of refractive state | 6.3% | 7,919 | 7,836 | $9K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.1% | 17,573 | 8,699 | $3K |
| V2020 | Frames, purchases | 2.1% | 10,855 | 10,583 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.0% | 16,499 | 8,121 | $3K |
| V2750 | Anti-reflective coating, per lens | 0% | 1,124 | 553 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 26 | 13 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 89 | 89 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 168 | 83 | $0.00 |
7 more codes
| 2022F | 0% | 14 | $0.00 | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 157 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 250 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 2,247 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 266 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 52 | $0.00 |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | 0% | 12 | $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 officialMANUKYAN, KARINA (OPTICIAN/OWNER)