Physician
NJ Eye and Ear LLC
NJ Eye and Ear LLC was paid $23.52M by Medicaid between Feb 2018 and Dec 2024, across 85 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 20% of everything it billed.
33Billing provider infoNJ EYE AND EAR LLC
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
33aNPI1356860811assigned 09/15/2017
33bProvider typeOphthalmology Physician
28Total paid$23.52M
24GClaims718,358
24DCodes billed85
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in New Jersey
Rank by total paid#2 of 213
Median peer was paid$20K
This provider vs. median1,199×
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 | 49,959 | $1.51M | |
| 2019 | 75,613 | $2.16M | |
| 2020 | 77,250 | $2.32M | |
| 2021 | 94,923 | $3.29M | |
| 2022 | 129,183 | $4.25M | |
| 2023 | 155,361 | $5.60M | |
| 2024incomplete | 136,069 | $4.39M |
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 | 20% | 87,877 | 81,932 | $4.65M |
| V5261 | Hearing aid, digital, binaural, bte | 15% | 2,456 | 1,409 | $3.61M |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 11% | 57,961 | 51,006 | $2.61M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 38,756 | 36,672 | $2.58M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.8% | 18,453 | 14,870 | $1.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 32,855 | 26,230 | $1.54M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.8% | 16,535 | 13,401 | $884K |
| 92083 | 3.0% | 23,018 | 19,832 | $711K | |
| 92015 | Determination of refractive state | 3.0% | 81,139 | 76,542 | $702K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 3.0% | 4,515 | 3,643 | $700K |
| 31231 | 1.9% | 3,939 | 3,156 | $447K | |
| 92133 | 1.8% | 22,657 | 19,064 | $415K |
73 more codes
| 92250 | 1.5% | 16,163 | $349K | |
| V5160 | Dispensing fee, binaural | 1.0% | 1,886 | $246K |
| 92134 | <1% | 13,995 | $216K | |
| 31575 | <1% | 2,614 | $193K | |
| 92273 | <1% | 3,195 | $181K | |
| 92202 | <1% | 21,747 | $153K | |
| 92557 | <1% | 9,453 | $151K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 663 | $144K |
| 69210 | <1% | 6,463 | $135K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 7,460 | $112K |
| 92587 | <1% | 9,343 | $92K | |
| 0509T | <1% | 2,151 | $86K | |
| 92020 | <1% | 5,636 | $78K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,452 | $76K |
| 92002 | <1% | 1,458 | $69K | |
| V5011 | Fitting/orientation/checking of hearing aid | <1% | 2,032 | $67K |
| 92225 | <1% | 3,128 | $59K | |
| 92025 | <1% | 3,414 | $55K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 1,489 | $54K |
| 92226 | <1% | 4,188 | $53K | |
| 68761 | <1% | 1,161 | $49K | |
| 76514 | <1% | 6,583 | $44K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 1,218 | $40K |
| 92570 | <1% | 2,602 | $39K | |
| 92275 | <1% | 461 | $36K | |
| 92567 | <1% | 5,653 | $35K | |
| 92136 | <1% | 2,114 | $33K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 669 | $31K |
| 92285 | <1% | 7,263 | $30K | |
| 92201 | <1% | 1,584 | $17K | |
| V5020 | Conformity evaluation | <1% | 488 | $14K |
| 92550 | <1% | 1,289 | $14K | |
| 95117 | <1% | 1,234 | $11K | |
| V2020 | Frames, purchases | <1% | 33,051 | $10K |
| 92593 | <1% | 344 | $10K | |
| 65778 | <1% | 20 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 193 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 17,408 | $9K |
| 92060 | <1% | 160 | $6K | |
| V5265 | Ear mold/insert, disposable, any type | <1% | 120 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 41,265 | $5K |
| 92145 | <1% | 770 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 208 | $4K |
| 66982 | <1% | 22 | $4K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 38 | $4K |
| 92235 | <1% | 59 | $3K | |
| 92568 | <1% | 643 | $3K | |
| 92504 | <1% | 151 | $2K | |
| 69421 | <1% | 45 | $2K | |
| V5266 | Battery for use in hearing device | <1% | 22 | $1K |
| 92588 | <1% | 46 | $826.71 | |
| V2755 | U-v lens, per lens | <1% | 42 | $592.80 |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 93 | $500.00 |
| V5267 | Hearing aid or assistive listening device/supplies/accessories, not otherwise specified | <1% | 66 | $435.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 1,074 | $338.00 |
| 92081 | <1% | 14 | $254.74 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 93 | $186.39 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 6,779 | $116.00 |
| 99058 | <1% | 15 | $63.12 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 27,150 | $41.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 6,295 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 3,716 | $0.00 |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 512 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 4,347 | $0.00 |
| V2299 | Specialty bifocal (by report) | 0% | 2,808 | $0.00 |
| A4262 | Temporary, absorbable lacrimal duct implant, each | 0% | 93 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 51 | $0.00 |
| V2799 | Vision item or service, miscellaneous | 0% | 234 | $0.00 |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | 0% | 52 | $0.00 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 0% | 3,190 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 25,432 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 77 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 250 | $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 officialSTEGMAN, DANIEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Clifton Eye Care LLC | Clifton, NJ | $438K |
| Englewood Eye Center, LLC | Englewood, NJ | $73K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.