Cross Bronx Optical INC.
Cross Bronx Optical INC. was paid $935K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoCROSS BRONX OPTICAL INC.
BRONX, NY 10460
BRONX, NY 10460
33aNPI1326355355assigned 09/13/2010
33bProvider typeOptometrist
28Total paid$935K
24GClaims34,374
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#103 of 1,605
Median peer was paid$29K
This provider vs. median32×
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 | 2,381 | $37K | |
| 2019 | 3,681 | $54K | |
| 2020 | 4,344 | $88K | |
| 2021 | 5,285 | $144K | |
| 2022 | 6,081 | $168K | |
| 2023 | 7,471 | $283K | |
| 2024incomplete | 5,131 | $162K |
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 | 28% | 3,936 | 3,889 | $259K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 2,277 | 2,254 | $121K |
| 92250 | 12% | 2,459 | 2,415 | $110K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 10% | 6,312 | 3,414 | $96K |
| V2020 | Frames, purchases | 10% | 7,696 | 7,585 | $95K |
| 92083 | 6.0% | 1,186 | 1,175 | $56K | |
| 68761 | 3.7% | 394 | 251 | $34K | |
| 92202 | 2.7% | 990 | 953 | $25K | |
| 92060 | 2.7% | 731 | 705 | $25K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.2% | 1,120 | 612 | $20K |
| 76512 | 2.0% | 225 | 128 | $19K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.0% | 1,351 | 1,346 | $18K |
13 more codes
| 92015 | Determination of refractive state | 1.7% | 1,328 | $16K |
| 92285 | 1.1% | 456 | $11K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,341 | $8K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 445 | $7K |
| V2102 | Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens | <1% | 213 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,554 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 49 | $2K |
| V2202 | Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens | <1% | 44 | $2K |
| 92341 | <1% | 74 | $1K | |
| 92225 | <1% | 52 | $795.24 | |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 52 | $716.50 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 76 | $538.12 |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 13 | $165.00 |
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 officialPRITSKER, MARINA (OWNER)