Opti-Design LLC
Opti-Design LLC was paid $64K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.
33Billing provider infoOPTI-DESIGN LLC
PATERSON, NJ 07505
PATERSON, NJ 07505
33aNPI1376831776assigned 07/19/2011
33bProvider typeOptician
28Total paid$64K
24GClaims29,298
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optician providers in New Jersey
Rank by total paid#11 of 89
Median peer was paid$2K
This provider vs. median40×
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 | 3,129 | $3K | |
| 2019 | 4,153 | $14K | |
| 2020 | 3,368 | $8K | |
| 2021 | 4,586 | $10K | |
| 2022 | 4,959 | $10K | |
| 2023 | 5,200 | $11K | |
| 2024incomplete | 3,903 | $8K |
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 | 44% | 774 | 772 | $28K |
| V2020 | Frames, purchases | 30% | 8,249 | 8,146 | $19K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.5% | 5,800 | 2,986 | $4K |
| 92015 | Determination of refractive state | 5.4% | 1,203 | 1,198 | $3K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.9% | 2,457 | 1,297 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.5% | 5,969 | 3,066 | $2K |
| 92250 | 2.9% | 67 | 66 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.5% | 31 | 31 | $945.20 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 2,387 | 1,234 | $602.80 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 12 | 12 | $286.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 13 | 13 | $160.00 |
| V2599 | Contact lens, other type | 0% | 142 | 142 | $0.00 |
8 more codes
| V2299 | Specialty bifocal (by report) | 0% | 74 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 354 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 74 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 1,050 | $0.00 |
| V2500 | Contact lens, pmma, spherical, per lens | 0% | 217 | $0.00 |
| V2520 | Contact lens, hydrophilic, spherical, per lens | 0% | 358 | $0.00 |
| V2501 | Contact lens, pmma, toric or prism ballast, per lens | 0% | 13 | $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% | 54 | $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 officialRAITHATHA, PARAG (OPHTHALMIC DISPENSER)
| Provider | Location | Paid |
|---|---|---|
| Optical Palace LLC | Jersey City, NJ | $393K |
| Optical Palace of Harrison LLC | Irvington, NJ | $306K |
| Optical Kare LLC | Orange, NJ | $199K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.