Graham Eye Care LLC
Graham Eye Care LLC was paid $9.38M by Medicaid between Dec 2019 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
BROOKLYN, NY 11206
Next to other Ophthalmology Physician providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 28 | $2K | |
| 2020 | 19,662 | $1.04M | |
| 2021 | 33,943 | $1.73M | |
| 2022 | 37,314 | $1.69M | |
| 2023 | 51,282 | $2.56M | |
| 2024incomplete | 45,012 | $2.37M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 21,057 | 20,913 | $1.41M |
| 68761 | 11% | 11,931 | 6,612 | $1.05M | |
| 68040 | 11% | 23,926 | 14,706 | $990K | |
| 76512 | 9.6% | 17,682 | 10,219 | $898K | |
| 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 | 9.4% | 9,334 | 9,311 | $886K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.5% | 8,911 | 8,903 | $702K |
| 92083 | 7.1% | 14,523 | 14,478 | $664K | |
| 92250 | 4.6% | 14,430 | 14,368 | $427K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.5% | 4,028 | 4,025 | $422K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.6% | 5,642 | 5,526 | $339K |
| 92100 | 3.2% | 5,082 | 5,043 | $305K | |
| 92286 | 2.8% | 8,958 | 8,957 | $266K |
23 more codes
| 92273 | 1.7% | 1,952 | $162K | |
| 92020 | 1.6% | 7,736 | $146K | |
| 92133 | 1.2% | 4,481 | $115K | |
| 92025 | <1% | 3,863 | $90K | |
| 92285 | <1% | 4,513 | $73K | |
| 92202 | <1% | 6,270 | $72K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 1,953 | $68K |
| 65778 | <1% | 60 | $52K | |
| V2020 | Frames, purchases | <1% | 1,378 | $46K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 221 | $42K |
| 92015 | Determination of refractive state | <1% | 2,846 | $39K |
| 92060 | <1% | 519 | $23K | |
| 68801 | <1% | 484 | $22K | |
| 76514 | <1% | 2,288 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 418 | $17K |
| 92134 | <1% | 600 | $16K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 441 | $13K |
| 67820 | <1% | 561 | $9K | |
| 92002 | <1% | 24 | $975.00 | |
| 92082 | <1% | 13 | $368.21 | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 16 | $84.84 |
| V2755 | U-v lens, per lens | 0% | 660 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 440 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Contra Costa County | Martinez, CA | $536.98M |
| Contra Costa County | Pittsburg, CA | $202.20M |
| Contra Costa County | San Pablo, CA | $170.81M |
| Contra Costa County | Martinez, CA | $100.64M |
| Contra Costa County | Martinez, CA | $90.59M |
| Contra Costa County | Concord, CA | $83.05M |
| Contra Costa County | Antioch, CA | $65.79M |
| Contra Costa County | Martinez, CA | $64.10M |
| Contra Costa County | Brentwood, CA | $45.11M |
| Contra Costa County | Concord, CA | $33.14M |
| Lone Star Ambulance 1, LLC | Corpus Christi, TX | $31.57M |
| Contra Costa County | Martinez, CA | $30.20M |
| Contra Costa County | San Pablo, CA | $28.69M |
| Contra Costa County | Pittsburg, CA | $24.26M |
| Contra Costa County | Concord, CA | $19.55M |
| Contra Costa County | Antioch, CA | $17.16M |
| Contra Costa County | Martinez, CA | $15.98M |
| Contra Costa County | North Richmond, CA | $14.20M |
| Contra Costa County | San Pablo, CA | $13.26M |
| Contra Costa County | Bay Point, CA | $10.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.