Kaplan & Tyson, LLC
Kaplan & Tyson, LLC was paid $637K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoKAPLAN & TYSON, LLC
VINELAND, NJ 08361
VINELAND, NJ 08361
33aNPI1437191970assigned 06/11/2006
33bProvider typeOptometrist
28Total paid$637K
24GClaims145,027
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#19 of 599
Median peer was paid$2K
This provider vs. median354×
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 | 21,617 | $169K | |
| 2019 | 23,472 | $170K | |
| 2020 | 19,180 | $146K | |
| 2021 | 22,447 | $94K | |
| 2022 | 29,311 | $29K | |
| 2023 | 24,462 | $30K | |
| 2024incomplete | 4,538 | $104.00 |
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 | 41% | 25,786 | 25,678 | $260K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 10,076 | 10,042 | $76K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 9.5% | 285 | 226 | $61K |
| 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 | 8.7% | 1,772 | 1,695 | $55K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.4% | 1,837 | 1,777 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 1,286 | 1,243 | $39K |
| 92015 | Determination of refractive state | 3.2% | 12,150 | 12,088 | $20K |
| 92134 | 3.1% | 1,991 | 1,980 | $20K | |
| 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 | 2.6% | 261 | 258 | $17K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.2% | 705 | 703 | $14K |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.5% | 214 | 205 | $9K |
| 92133 | <1% | 316 | 311 | $5K |
25 more codes
| 92083 | <1% | 286 | $4K | |
| 92250 | <1% | 104 | $4K | |
| 92136 | <1% | 212 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 38 | $2K |
| V2020 | Frames, purchases | <1% | 20,618 | $2K |
| 92060 | <1% | 56 | $1K | |
| 92020 | <1% | 136 | $1K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 20,865 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 11,506 | $786.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $281.88 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 11,291 | $148.00 |
| V2599 | Contact lens, other type | <1% | 27 | $100.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,049 | $54.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 1,284 | $52.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 3,157 | $0.00 |
| 2023F | 0% | 681 | $0.00 | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 269 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 578 | $0.00 |
| V2299 | Specialty bifocal (by report) | 0% | 1,198 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 1,422 | $0.00 |
| S0500 | Disposable contact lens, per lens | 0% | 14 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 4,422 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 6,948 | $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% | 570 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 604 | $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 officialBIAGI, GINA (ADMINISTRATOR)