Supplier
Total Optical Corporation
Total Optical Corporation was paid $127K by Medicaid between Apr 2019 and Nov 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.
33Billing provider infoTOTAL OPTICAL CORPORATION
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1104304591assigned 07/30/2018
33bProvider typeEyewear Supplier
28Total paid$127K
24GClaims6,369
24DCodes billed10
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in New York
Rank by total paid#86 of 244
Median peer was paid$44K
This provider vs. median2.9×
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 | 214 | $3K | |
| 2020 | 778 | $10K | |
| 2021 | 1,458 | $26K | |
| 2022 | 1,179 | $27K | |
| 2023 | 1,495 | $33K | |
| 2024incomplete | 1,245 | $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 | 39% | 1,175 | 1,167 | $50K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 24% | 1,809 | 1,020 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 483 | 479 | $21K |
| V2020 | Frames, purchases | 13% | 1,353 | 1,337 | $17K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.1% | 130 | 123 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 62 | 61 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 822 | 457 | $958.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 26 | 13 | $205.40 |
| 92015 | Determination of refractive state | <1% | 61 | 61 | $180.50 |
| V2755 | U-v lens, per lens | 0% | 448 | 221 | $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 officialMORILLO, LILYAN (OPTHALMIC DISPENSER)