Optical Outlet LLC
Optical Outlet LLC was paid $34K by Medicaid between Feb 2018 and Nov 2019, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 48% of everything it billed.
33Billing provider infoOPTICAL OUTLET LLC
CLIFTON, NJ 07011
CLIFTON, NJ 07011
33aNPI1194109678assigned 07/15/2015
33bProvider typeOptometrist
28Total paid$34K
24GClaims12,281
24DCodes billed12
24AFirst – last monthFeb 2018 – Nov 2019
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#163 of 599
Median peer was paid$2K
This provider vs. median19×
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 | 5,652 | $10K | |
| 2019 | 6,629 | $24K |
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 | 48% | 2,275 | 2,271 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 334 | 310 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 1,067 | 1,067 | $5K |
| 92250 | 11% | 109 | 109 | $4K | |
| V2020 | Frames, purchases | 0% | 2,538 | 2,537 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 152 | 152 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 12 | 12 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 1,846 | 958 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 2,194 | 1,155 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 1,425 | 766 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 217 | 115 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 112 | 112 | $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 officialAYOUB, AYBEE (OWNER)