Supplier
Passaic Vision Center ,LLC.
Passaic Vision Center ,LLC. was paid $25K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 57% of everything it billed.
33Billing provider infoPASSAIC VISION CENTER ,LLC.
PASSAIC, NJ 07055
PASSAIC, NJ 07055
33aNPI1194912154assigned 10/03/2007
33bProvider typeEyewear Supplier
28Total paid$25K
24GClaims12,252
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Eyewear Supplier providers in New Jersey
Rank by total paid#35 of 70
Median peer was paid$25K
This provider vs. median1.0×
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 | 2,237 | $4K | |
| 2019 | 1,441 | $552.40 | |
| 2020 | 986 | $20.00 | |
| 2021 | 1,409 | $2K | |
| 2022 | 2,860 | $9K | |
| 2023 | 2,225 | $7K | |
| 2024incomplete | 1,094 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 57% | 404 | 341 | $15K |
| 92015 | Determination of refractive state | 20% | 800 | 703 | $5K |
| 92002 | 12% | 100 | 88 | $3K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.2% | 70 | 69 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.7% | 127 | 127 | $929.60 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 74 | 74 | $222.40 |
| V2020 | Frames, purchases | <1% | 2,342 | 2,319 | $140.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 1,356 | 712 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 4,018 | 2,042 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 301 | 152 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 2,090 | 1,033 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 570 | 278 | $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 officialMENDOZA, LUIS (OWNER)