Jamaica Optical INC.
Jamaica Optical INC. was paid $912K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoJAMAICA OPTICAL INC.
JAMAICA, NY 11435
JAMAICA, NY 11435
33aNPI1033446463assigned 11/05/2009
33bProvider typeOptician
28Total paid$912K
24GClaims33,337
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optician providers in New York
Rank by total paid#4 of 184
Median peer was paid$46K
This provider vs. median20×
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 | 5,150 | $148K | |
| 2019 | 7,453 | $176K | |
| 2020 | 5,799 | $142K | |
| 2021 | 5,810 | $161K | |
| 2022 | 4,187 | $122K | |
| 2023 | 3,464 | $115K | |
| 2024incomplete | 1,474 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 3,862 | 3,840 | $278K |
| 92083 | 16% | 2,913 | 2,898 | $146K | |
| 92250 | 14% | 2,780 | 2,764 | $130K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.4% | 5,273 | 2,954 | $77K |
| V2020 | Frames, purchases | 8.3% | 7,329 | 7,234 | $76K |
| 92285 | 7.5% | 2,596 | 2,585 | $68K | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 3.2% | 498 | 494 | $29K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.2% | 985 | 509 | $20K |
| 92225 | 2.1% | 1,205 | 672 | $19K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.8% | 281 | 281 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.7% | 1,194 | 1,188 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.1% | 1,604 | 1,038 | $10K |
9 more codes
| 92202 | <1% | 732 | $9K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,141 | $5K |
| 92341 | <1% | 181 | $3K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 205 | $3K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 249 | $3K |
| 92015 | Determination of refractive state | <1% | 204 | $2K |
| V2219 | Bifocal seg width over 28 mm | <1% | 13 | $748.00 |
| 92002 | <1% | 14 | $589.61 | |
| V2755 | U-v lens, per lens | 0% | 78 | $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 officialBANGIYEV, MARK (OWNER/OPTICIAN)
| Provider | Location | Paid |
|---|---|---|
| Hillside Optical Corp. | Jamaica, NY | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.