Boris Kapelnik Od P.C.
Boris Kapelnik Od P.C. was paid $3.86M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 15% of everything it billed.
33Billing provider infoBORIS KAPELNIK OD P.C.
REGO PARK, NY 11374
REGO PARK, NY 11374
33aNPI1427465293assigned 07/14/2014
33bProvider typeOptometrist
28Total paid$3.86M
24GClaims99,630
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#11 of 1,605
Median peer was paid$29K
This provider vs. median132×
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 | 9,162 | $395K | |
| 2019 | 8,860 | $370K | |
| 2020 | 11,132 | $432K | |
| 2021 | 24,695 | $900K | |
| 2022 | 16,777 | $636K | |
| 2023 | 17,186 | $659K | |
| 2024incomplete | 11,818 | $468K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 8,320 | 8,308 | $585K |
| 92250 | 15% | 12,650 | 12,620 | $581K | |
| 76512 | 14% | 7,469 | 5,295 | $552K | |
| 92083 | 12% | 9,167 | 9,070 | $445K | |
| 92286 | 11% | 4,991 | 4,984 | $411K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.6% | 4,440 | 4,436 | $255K |
| 92285 | 5.8% | 12,434 | 12,371 | $225K | |
| 92060 | 5.0% | 5,163 | 5,146 | $192K | |
| 68761 | 4.6% | 1,816 | 1,553 | $177K | |
| 92015 | Determination of refractive state | 2.1% | 6,984 | 6,974 | $83K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.7% | 4,556 | 2,930 | $66K |
| V2020 | Frames, purchases | 1.3% | 5,760 | 5,737 | $51K |
15 more codes
| 92020 | 1.2% | 3,503 | $46K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.1% | 1,100 | $42K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 2,878 | $38K |
| 92025 | <1% | 1,513 | $33K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,163 | $20K |
| 92133 | <1% | 443 | $13K | |
| 76514 | <1% | 1,596 | $13K | |
| 92341 | <1% | 528 | $9K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 283 | $6K |
| 92134 | <1% | 159 | $5K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 259 | $5K |
| 92225 | <1% | 80 | $2K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 116 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,245 | $1K |
| 92202 | <1% | 14 | $129.78 |
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 officialKAPELNIK, BORIS (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| Fordham Vision Center NY LLC | Bronx, NY | $2.29M |
| Grand Vision Optometry P.C. | Brooklyn, NY | $1.33M |
| Jamaica Eye Care Center LLC | Jamaica, NY | $794K |
| Absolute Eyecare Center LLC | Brooklyn, NY | $686K |
| 5TH Avenue Vision Center LLC | Brooklyn, NY | $680K |
| Sunny Vision Optometry PC | Sunnyside, NY | $442K |
| Forest Hills Optometry and Ophthalmic Dispensing PLLC | Forest Hills, NY | $39K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.