Gayne Optical
Gayne Optical was paid $191K by Medicaid between Jan 2018 and Mar 2024, across 5 billing codes. Its largest line is V2020, Frames, purchases — 36% of everything it billed.
33Billing provider infoGAYNE OPTICAL
SCHENECTADY, NY 12305
SCHENECTADY, NY 12305
33aNPI1184872038assigned 09/04/2008
33bProvider typeOptician
28Total paid$191K
24GClaims6,881
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Optician providers in New York
Rank by total paid#36 of 184
Median peer was paid$46K
This provider vs. median4.2×
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 | 1,163 | $27K | |
| 2019 | 1,463 | $39K | |
| 2020 | 1,127 | $33K | |
| 2021 | 1,219 | $35K | |
| 2022 | 835 | $25K | |
| 2023 | 896 | $26K | |
| 2024incomplete | 178 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 36% | 2,356 | 2,314 | $69K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 36% | 1,499 | 887 | $69K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 1,772 | 1,769 | $27K |
| 92341 | 12% | 1,158 | 1,151 | $23K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.2% | 96 | 59 | $4K |
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 officialGAYNE, HEATHER (OWNER)