Pure Vision Optical 2 LLC
Pure Vision Optical 2 LLC was paid $82K by Medicaid between Feb 2023 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.
33Billing provider infoPURE VISION OPTICAL 2 LLC
BRONX, NY 10468
BRONX, NY 10468
33aNPI1164156261assigned 07/13/2022
33bProvider typeOptometrist
28Total paid$82K
24GClaims2,007
24DCodes billed7
24AFirst – last monthFeb 2023 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#584 of 1,605
Median peer was paid$29K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2023 | 1,513 | $63K | |
| 2024incomplete | 494 | $18K |
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 | 48% | 534 | 533 | $39K |
| 92250 | 25% | 455 | 453 | $20K | |
| V2020 | Frames, purchases | 9.1% | 395 | 391 | $7K |
| 92285 | 9.0% | 268 | 265 | $7K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.7% | 307 | 158 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.5% | 22 | 22 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 26 | 13 | $100.00 |
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 officialYAKUBOV, OREN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pure Vision Optical LLC | Forest Hills, NY | $222K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.