Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NJ EYE AND EAR LLC

NPI: 1356860811 · ENGLEWOOD, NJ 07631 · Ophthalmology Physician · NPI assigned 09/15/2017

$23.52M
Total Medicaid Paid
718,358
Total Claims
573,606
Beneficiaries
85
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEGMAN, DANIEL (OWNER)
NPI Enumeration Date09/15/2017

Related Entities

Other providers sharing the same authorized official: STEGMAN, DANIEL

ProviderCityStateTotal Paid
CLIFTON EYE CARE LLC CLIFTON NJ $438K
ENGLEWOOD EYE CENTER, LLC ENGLEWOOD NJ $73K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 136,069 $4.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 87,877 81,932 $4.65M
V5261 Hearing aid, digital, binaural, bte 2,456 1,409 $3.61M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 57,961 51,006 $2.61M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 38,756 36,672 $2.58M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18,453 14,870 $1.61M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,855 26,230 $1.54M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,535 13,401 $884K
92083 23,018 19,832 $711K
92015 Determination of refractive state 81,139 76,542 $702K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 4,515 3,643 $700K
31231 3,939 3,156 $447K
92133 22,657 19,064 $415K
92250 16,163 13,926 $349K
V5160 Dispensing fee, binaural 1,886 1,352 $246K
92134 13,995 11,703 $216K
31575 2,614 2,110 $193K
92273 3,195 2,496 $181K
92202 21,747 18,066 $153K
92557 9,453 7,259 $151K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 663 533 $144K
69210 6,463 4,736 $135K
92340 Fitting of spectacles, except for aphakia; monofocal 7,460 7,313 $112K
92587 9,343 7,084 $92K
0509T 2,151 1,830 $86K
92020 5,636 4,793 $78K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,452 2,100 $76K
92002 1,458 1,345 $69K
V5011 Fitting/orientation/checking of hearing aid 2,032 1,458 $67K
92225 3,128 1,804 $59K
92025 3,414 2,817 $55K
67028 Intravitreal injection of a pharmacologic agent 1,489 1,076 $54K
92226 4,188 2,378 $53K
68761 1,161 429 $49K
76514 6,583 5,508 $44K
J9035 Injection, bevacizumab, 10 mg 1,218 888 $40K
92570 2,602 2,157 $39K
92275 461 458 $36K
92567 5,653 4,049 $35K
92136 2,114 1,392 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 669 441 $31K
92285 7,263 4,988 $30K
92201 1,584 1,345 $17K
V5020 Conformity evaluation 488 368 $14K
92550 1,289 1,051 $14K
95117 1,234 400 $11K
V2020 Frames, purchases 33,051 32,797 $10K
92593 344 303 $10K
65778 20 13 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 193 188 $9K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 17,408 9,022 $9K
92060 160 157 $6K
V5265 Ear mold/insert, disposable, any type 120 87 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 41,265 20,736 $5K
92145 770 608 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 208 199 $4K
66982 22 13 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 38 27 $4K
92235 59 42 $3K
92568 643 391 $3K
92504 151 126 $2K
69421 45 25 $2K
V5266 Battery for use in hearing device 22 18 $1K
92588 46 46 $826.71
V2755 U-v lens, per lens 42 42 $592.80
V2520 Contact lens, hydrophilic, spherical, per lens 93 93 $500.00
V5267 Hearing aid or assistive listening device/supplies/accessories, not otherwise specified 66 38 $435.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 1,074 554 $338.00
92081 14 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) 93 63 $186.39
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 6,779 3,408 $116.00
99058 15 15 $63.12
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 27,150 13,574 $41.00
V2744 Tint, photochromatic, per lens 6,295 3,148 $0.00
V2781 Progressive lens, per lens 3,716 1,858 $0.00
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 512 256 $0.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 4,347 2,169 $0.00
V2299 Specialty bifocal (by report) 2,808 1,398 $0.00
A4262 Temporary, absorbable lacrimal duct implant, each 93 75 $0.00
S0620 Routine ophthalmological examination including refraction; new patient 51 51 $0.00
V2799 Vision item or service, miscellaneous 234 117 $0.00
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 52 25 $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 3,190 1,582 $0.00
V2750 Anti-reflective coating, per lens 25,432 12,716 $0.00
S0621 Routine ophthalmological examination including refraction; established patient 77 77 $0.00
V2760 Scratch resistant coating, per lens 250 125 $0.00