Legacy Optical INC
Legacy Optical INC was paid $5K by Medicaid between Sep 2021 and Feb 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 69% of everything it billed.
33Billing provider infoLEGACY OPTICAL INC
HAMPTON BAYS, NY 11946
HAMPTON BAYS, NY 11946
33aNPI1114515467assigned 01/04/2021
33bProvider typeContact Lens Fitter
28Total paid$5K
24GClaims134
24DCodes billed3
24AFirst – last monthSep 2021 – Feb 2024
Compared with peers
Next to other Contact Lens Fitter providers in New York
Rank by total paid#6 of 7
Median peer was paid$36K
This provider vs. median0.1×
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 | 109 | $4K | |
| 2024incomplete | 25 | $1K |
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 | 69% | 46 | 46 | $4K |
| 92015 | Determination of refractive state | 23% | 62 | 61 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.7% | 26 | 26 | $390.00 |
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 officialPFLEGER, LISA (PRESIDENT/NYS OPHTHALMIC DISPENSER)