Grace Optical
Grace Optical was paid $126K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoGRACE OPTICAL
BRONX, NY 10467
BRONX, NY 10467
33aNPI1114996840assigned 03/15/2006
33bProvider typeOptometrist
28Total paid$126K
24GClaims5,790
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#496 of 1,605
Median peer was paid$29K
This provider vs. median4.3×
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 | 1,451 | $44K | |
| 2019 | 1,307 | $28K | |
| 2020 | 343 | $6K | |
| 2021 | 540 | $7K | |
| 2022 | 553 | $9K | |
| 2023 | 701 | $12K | |
| 2024incomplete | 895 | $20K |
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% | 517 | 517 | $38K |
| V2020 | Frames, purchases | 16% | 1,455 | 1,452 | $21K |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 16% | 342 | 340 | $20K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 1,415 | 1,412 | $19K |
| 92015 | Determination of refractive state | 4.9% | 510 | 508 | $6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.2% | 542 | 540 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.2% | 608 | 607 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.5% | 105 | 105 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.9% | 63 | 63 | $4K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 2.3% | 204 | 204 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 15 | 15 | $595.20 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | 14 | $289.80 |
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 officialYOON, JIYOUNG (OWNER)