Exclusive Eyewear LLC

Exclusive Eyewear LLC was paid $104K by Medicaid between Jan 2018 and Dec 2023, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.

33Billing provider infoEXCLUSIVE EYEWEAR LLC
BROOKLYN, NY 11217

33aNPI1437484086assigned 10/14/2009

33bProvider typeEyewear Supplier

28Total paid$104K

24GClaims5,209

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Eyewear Supplier providers in New York

Rank by total paid#95 of 244

Median peer was paid$44K

This provider vs. median2.3×

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	212	$5K
2019	309	$4K
2020	1,037	$21K
2021	1,464	$35K
2022	1,149	$28K
2023	1,038	$12K

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	56%	1,642	1,232	$58K
92250		19%	606	595	$19K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	13%	923	452	$14K
V2020	Frames, purchases	9.3%	1,094	1,071	$10K
V2782	Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens	2.0%	40	38	$2K
99243		<1%	626	557	$356.35
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	24	24	$310.50
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	38	19	$205.40
S0620	Routine ophthalmological examination including refraction; new patient	<1%	13	13	$160.00
92015	Determination of refractive state	<1%	13	13	$144.00
V2784	Lens, polycarbonate or equal, any index, per lens	0%	190	94	$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 officialROSA, JESSICA (OWNER)