Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Scranton › NPI 1275649592
Supplier

Optical Nei INC

Optical Nei INC was paid $883K by Medicaid between May 2018 and Oct 2022, across 8 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 52% of everything it billed.

33Billing provider infoOPTICAL NEI INC
SCRANTON, PA 18503
33aNPI1275649592assigned 08/21/2006
33bProvider typeEyewear Supplier
28Total paid$883K
24GClaims27,982
24DCodes billed8
24AFirst – last monthMay 2018 – Oct 2022
Compared with peers

Next to other Eyewear Supplier providers in Pennsylvania

Rank by total paid#14 of 129
Median peer was paid$96K
This provider vs. median9.2×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201856$4K
2019126$6K
20202,975$97K
202122,562$718K
20222,263$58K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2784 Lens, polycarbonate or equal, any index, per lens 52% 9,175 8,510 $458K
V2020 Frames, purchases 18% 10,856 9,558 $163K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 15% 3,887 2,778 $128K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12% 3,395 3,358 $104K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 2.6% 473 301 $23K
V2750 Anti-reflective coating, per lens <1% 101 96 $4K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 48 44 $2K
V2744 Tint, photochromatic, per lens <1% 47 42 $774.00

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 officialCARROLL, JOSEPH (CHIEF FINANCIAL OFFICER)