Super Vision LLC
Super Vision LLC was paid $41K by Medicaid between Dec 2022 and Oct 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 54% of everything it billed.
33Billing provider infoSUPER VISION LLC
JERSEY CITY, NJ 07307
JERSEY CITY, NJ 07307
33aNPI1295038552assigned 12/08/2010
33bProvider typeOptometrist
28Total paid$41K
24GClaims2,892
24DCodes billed9
24AFirst – last monthDec 2022 – Oct 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#151 of 599
Median peer was paid$2K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2022 | 26 | $937.80 | |
| 2023 | 1,370 | $19K | |
| 2024incomplete | 1,496 | $21K |
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 | 54% | 468 | 466 | $22K |
| V2020 | Frames, purchases | 16% | 439 | 437 | $6K |
| 92250 | 13% | 225 | 212 | $5K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 12% | 337 | 330 | $5K |
| 92015 | Determination of refractive state | 3.0% | 455 | 447 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.8% | 403 | 393 | $720.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 103 | 103 | $399.00 |
| 2026F | 0% | 252 | 235 | $0.00 | |
| 3072F | 0% | 210 | 209 | $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 officialRAITHATHA, SUNNY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Vision World Prof Corp | Elizabeth, NJ | $215K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.