Edelsberg, Irving
Edelsberg, Irving was paid $105K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.
33Billing provider infoEDELSBERG, IRVING
OCEAN, NJ 07712
OCEAN, NJ 07712
33aNPI1124004866assigned 12/15/2005
33bProvider typeOptometrist
28Total paid$105K
24GClaims27,343
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#89 of 599
Median peer was paid$2K
This provider vs. median58×
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 | 3,866 | $22K | |
| 2019 | 4,142 | $21K | |
| 2020 | 2,700 | $10K | |
| 2021 | 3,620 | $11K | |
| 2022 | 4,183 | $15K | |
| 2023 | 4,941 | $17K | |
| 2024incomplete | 3,891 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 50% | 4,181 | 4,165 | $53K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 2,350 | 2,346 | $25K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 787 | 782 | $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 | 7.6% | 201 | 172 | $8K |
| 92015 | Determination of refractive state | 3.5% | 2,881 | 2,869 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.5% | 58 | 54 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 1,075 | 567 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 4,989 | 2,456 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 5,749 | 2,880 | $0.00 |
| 3072F | 0% | 468 | 461 | $0.00 | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 66 | 66 | $0.00 |
| V2020 | Frames, purchases | 0% | 4,416 | 4,210 | $0.00 |
1 more codes
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 122 | $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.