Ultra Vision Optical Center INC

Ultra Vision Optical Center INC was paid $17K by Medicaid between Mar 2018 and Apr 2024, across 8 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 34% of everything it billed.

33Billing provider infoULTRA VISION OPTICAL CENTER INC
N MASSAPEQUA, NY 11758

33aNPI1326183252assigned 02/20/2007

33bProvider typePreferred Provider Organization

28Total paid$17K

24GClaims1,434

24DCodes billed8

24AFirst – last monthMar 2018 – Apr 2024

Compared with peers

Next to other Preferred Provider Organization providers in New York

Rank by total paid#17 of 27

Median peer was paid$60K

This provider vs. median0.3×

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	12	$165.00
2019	27	$225.00
2020	305	$3K
2021	357	$4K
2022	325	$3K
2023	395	$5K
2024incomplete	13	$690.04

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	34%	342	175	$6K
V2020	Frames, purchases	23%	462	453	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	16%	69	67	$3K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	15%	66	63	$3K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	8.9%	46	46	$2K
92340	Fitting of spectacles, except for aphakia; monofocal	3.4%	40	40	$585.00
92015	Determination of refractive state	<1%	397	396	$121.60
3072F		0%	12	12	$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 officialBART, JASON (OPTOMETRIST)