State of New York Comptrollers Office
State of New York Comptrollers Office was paid $3.29M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 41% of everything it billed.
33Billing provider infoSTATE OF NEW YORK COMPTROLLERS OFFICE
NEW YORK, NY 10036
NEW YORK, NY 10036
33aNPI1407829856assigned 02/08/2006
33bProvider typeOptometrist
28Total paid$3.29M
24GClaims84,313
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#14 of 1,605
Median peer was paid$29K
This provider vs. median112×
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 | 11,854 | $521K | |
| 2019 | 15,554 | $611K | |
| 2020 | 8,373 | $343K | |
| 2021 | 13,497 | $530K | |
| 2022 | 14,410 | $514K | |
| 2023 | 15,744 | $545K | |
| 2024incomplete | 4,881 | $228K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 41% | 23,325 | 12,556 | $1.34M |
| 92065 | 17% | 15,808 | 6,726 | $553K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 8,890 | 7,813 | $422K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.9% | 4,531 | 4,451 | $292K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.3% | 3,262 | 3,234 | $208K |
| 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 | 2.7% | 1,027 | 1,001 | $88K |
| 92015 | Determination of refractive state | 2.0% | 9,464 | 9,346 | $67K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.6% | 3,865 | 1,931 | $53K |
| 92060 | 1.6% | 1,160 | 1,156 | $52K | |
| V2020 | Frames, purchases | 1.1% | 4,196 | 4,052 | $37K |
| V2500 | Contact lens, pmma, spherical, per lens | 1.0% | 147 | 140 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 860 | 821 | $32K |
18 more codes
| 92250 | <1% | 808 | $30K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 270 | $22K |
| 92083 | <1% | 247 | $13K | |
| 92002 | <1% | 137 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 64 | $8K |
| 92133 | <1% | 239 | $7K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,194 | $6K |
| 99284 | Emergency room visit (serious) | <1% | 35 | $5K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 186 | $4K |
| 92134 | <1% | 140 | $4K | |
| 92310 | <1% | 39 | $2K | |
| 92025 | <1% | 123 | $2K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 182 | $1K |
| 92226 | <1% | 47 | $779.28 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 24 | $360.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,974 | $247.00 |
| 92066 | <1% | 15 | $237.38 | |
| V2755 | U-v lens, 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 officialMCGOVERN, MICHAEL (CHIEF MEDICAL OFFICER)