Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Grand Fashion Optical, INC

Grand Fashion Optical, INC was paid $335K by Medicaid between Feb 2018 and Nov 2024, across 21 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.

33Billing provider infoGRAND FASHION OPTICAL, INC
NEW YORK, NY 10013
33aNPI1124269154assigned 03/22/2009
33bProvider typeOptometrist
28Total paid$335K
24GClaims13,252
24DCodes billed21
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#285 of 1,605
Median peer was paid$29K
This provider vs. median11×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,061$10K
20191,016$8K
20201,294$31K
20212,138$43K
20222,361$59K
20234,129$139K
2024incomplete1,253$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 1,678 1,671 $78K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21% 1,384 1,381 $69K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 17% 1,468 1,445 $58K
92083 11% 790 790 $38K
92133 6.8% 749 749 $23K
92020 4.8% 1,062 1,060 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4.3% 804 403 $14K
92202 2.2% 375 374 $7K
V2020 Frames, purchases 2.1% 796 795 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.6% 143 141 $5K
92250 1.2% 92 92 $4K
92015 Determination of refractive state 1.1% 2,282 2,278 $4K
9 more codes
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.0% 350 $3K
76514 <1% 377 $3K
92002 <1% 101 $3K
99204 Doctor's office visit, new patient (more involved) <1% 12 $1K
92134 <1% 26 $780.52
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 27 $610.48
V2755 U-v lens, per lens 0% 424 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 270 $0.00
2023F 0% 42 $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 officialTSAI, NANCY (MD)
Same official

Other billing entities under TSAI, NANCY

Full network →
ProviderLocationPaid
Advanced Eye Physician PLLCNew York, NY$2.37M
Star Vision Optical INCFlushing, NY$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.