KINGS HIGHWAY OPTICAL CORP.

NPI: 1083850341 · BROOKLYN, NY 11229 · Eyewear Supplier · NPI assigned 12/16/2008

$257K

Total Medicaid Paid

7,032

Total Claims

5,744

Beneficiaries

Codes Billed

2018-01

First Month

2019-08

Last Month

Provider Details

Authorized Official	ZAVILENSKY, ELAINA (PRESIDENT)
NPI Enumeration Date	12/16/2008

Other providers sharing the same authorized official: ZAVILENSKY, ELAINA

Provider	City	State	Total Paid
V Z OPTICAL CORP	MIDDLETOWN	NY	$1.07M
BARTOW AVENUE BRONX EYE CARE INC	BRONX	NY	$315K
EWZ OPTICAL CORP	ELMHURST	NY	$81K
LEXINGTON VISION CORP	NEW YORK	NY	$60K
STYLEYES OPTICAL CORP	NEW YORK	NY	$59K
NEW TRENDS OPTICAL, CORP	BRONX	NY	$41K
CROSS COUNTY VISION CORP	YONKERS	NY	$2K
FIRST OPTICAL CORP	NEW YORK	NY	$2K

Year	Claims	Total Paid
2018	3,809	$142K
2019	3,223	$115K

Code	Description	Claims	Beneficiaries	Total Paid
76512		834	419	$56K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	572	571	$41K
92250		917	910	$40K
92083		723	709	$33K
92285		968	960	$26K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	412	409	$24K
92060		480	469	$17K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	624	322	$11K
V2020	Frames, purchases	424	424	$4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	188	94	$3K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	17	15	$689.64
92133		13	13	$394.38
V2784	Lens, polycarbonate or equal, any index, per lens	860	429	$0.00