DM Optical INC
DM Optical INC was paid $1.18M by Medicaid between Jan 2018 and Feb 2020, across 25 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 20% of everything it billed.
33Billing provider infoDM OPTICAL INC
BROOKLYN, NY 11215
BROOKLYN, NY 11215
33aNPI1457414286assigned 12/19/2006
33bProvider typeOptometrist
28Total paid$1.18M
24GClaims19,147
24DCodes billed25
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#74 of 1,605
Median peer was paid$29K
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 | 8,178 | $519K | |
| 2019 | 10,632 | $643K | |
| 2020 | 337 | $22K |
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 | 20% | 2,420 | 2,414 | $233K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 15% | 2,446 | 2,421 | $174K |
| 68040 | 10.0% | 1,522 | 1,510 | $118K | |
| 92083 | 9.2% | 2,046 | 2,028 | $108K | |
| 76512 | 8.2% | 899 | 842 | $97K | |
| 68761 | 7.7% | 540 | 501 | $91K | |
| 92250 | 7.5% | 1,926 | 1,908 | $89K | |
| 92226 | 6.4% | 2,166 | 1,939 | $76K | |
| 92286 | 3.4% | 1,017 | 1,017 | $40K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 315 | 315 | $36K |
| 92025 | 1.9% | 730 | 729 | $22K | |
| 92100 | 1.7% | 300 | 300 | $20K |
13 more codes
| 92133 | 1.2% | 482 | $15K | |
| 92285 | 1.1% | 585 | $13K | |
| 92134 | 1.1% | 387 | $13K | |
| 92225 | 1.1% | 343 | $13K | |
| 92020 | 1.1% | 583 | $12K | |
| 92015 | Determination of refractive state | <1% | 186 | $3K |
| V2020 | Frames, purchases | <1% | 64 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 41 | $3K |
| 67820 | <1% | 46 | $2K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 23 | $668.38 |
| 76514 | <1% | 48 | $577.67 | |
| 92201 | <1% | 18 | $365.58 | |
| 92202 | <1% | 14 | $179.20 |
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 officialGRINBERG, MAKSIM (OWNER)