Koppel, Lior
Koppel, Lior was paid $652.00 by Medicaid between Jan 2018 and Jan 2019, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoKOPPEL, LIOR
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
33aNPI1356492789assigned 01/14/2007
33bProvider typeOptometrist
28Total paid$652.00
24GClaims3,243
24DCodes billed10
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#342 of 599
Median peer was paid$2K
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 | |
|---|---|---|---|
| 2018 | 2,901 | $652.00 | |
| 2019 | 342 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 74% | 12 | 12 | $480.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 369 | 368 | $129.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.6% | 236 | 236 | $43.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 471 | 256 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 97 | 49 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 91 | 91 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 910 | 486 | $0.00 |
| V2020 | Frames, purchases | 0% | 611 | 609 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 376 | 188 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 70 | 70 | $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.