Pure Vision Optical LLC
Pure Vision Optical LLC was paid $222K by Medicaid between Apr 2021 and Oct 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoPURE VISION OPTICAL LLC
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
33aNPI1033717053assigned 10/12/2020
33bProvider typeOptometrist
28Total paid$222K
24GClaims5,667
24DCodes billed14
24AFirst – last monthApr 2021 – Oct 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#369 of 1,605
Median peer was paid$29K
This provider vs. median7.6×
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 | |
|---|---|---|---|
| 2021 | 1,381 | $53K | |
| 2022 | 1,263 | $55K | |
| 2023 | 2,185 | $85K | |
| 2024incomplete | 838 | $30K |
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 | 32% | 1,089 | 1,085 | $72K |
| 92250 | 27% | 1,453 | 1,436 | $60K | |
| 68761 | 9.1% | 274 | 136 | $20K | |
| 92285 | 8.5% | 735 | 719 | $19K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.3% | 673 | 347 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 369 | 341 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.3% | 225 | 225 | $12K |
| V2020 | Frames, purchases | 2.9% | 423 | 419 | $7K |
| 92060 | 1.7% | 107 | 107 | $4K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 26 | 25 | $1K |
| 92083 | <1% | 13 | 13 | $616.53 | |
| 92133 | <1% | 13 | 13 | $360.24 |
2 more codes
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 officialYAKUBOV, OREN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pure Vision Optical 2 LLC | Bronx, NY | $82K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.