Managed care
J& J Premium Eye Care INC
J& J Premium Eye Care INC was paid $25K by Medicaid between Jan 2019 and Mar 2023, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 61% of everything it billed.
33Billing provider infoJ& J PREMIUM EYE CARE INC
NORTH BALDWIN, NY 11510
NORTH BALDWIN, NY 11510
33aNPI1255650743assigned 05/23/2010
33bProvider typePoint of Service
28Total paid$25K
24GClaims1,282
24DCodes billed4
24AFirst – last monthJan 2019 – Mar 2023
Compared with peers
Next to other Point of Service providers in New York
Rank by total paid#9 of 14
Median peer was paid$62K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 12 | $356.18 | |
| 2020 | 386 | $6K | |
| 2021 | 392 | $7K | |
| 2022 | 401 | $9K | |
| 2023 | 91 | $2K |
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 | 61% | 471 | 471 | $15K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 22% | 345 | 176 | $6K |
| V2020 | Frames, purchases | 16% | 420 | 418 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 46 | 24 | $12.00 |
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 officialORR, JAMES (CEO)