Resident Eye Care Associates, LLC
Resident Eye Care Associates, LLC was paid $673K 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 — 43% of everything it billed.
33Billing provider infoRESIDENT EYE CARE ASSOCIATES, LLC
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
33aNPI1508883307assigned 07/16/2006
33bProvider typeOptometrist
28Total paid$673K
24GClaims256,833
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#17 of 599
Median peer was paid$2K
This provider vs. median374×
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 | 18,379 | $34K | |
| 2019 | 13,871 | $42K | |
| 2020 | 36,066 | $69K | |
| 2021 | 31,954 | $105K | |
| 2022 | 43,111 | $127K | |
| 2023 | 63,543 | $158K | |
| 2024incomplete | 49,909 | $139K |
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 | 43% | 35,059 | 32,972 | $292K |
| 92250 | 21% | 18,720 | 17,367 | $144K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 15,171 | 14,226 | $111K |
| V2020 | Frames, purchases | 6.2% | 8,868 | 8,828 | $42K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.2% | 678 | 674 | $22K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.3% | 21,873 | 20,601 | $16K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.9% | 4,195 | 2,465 | $12K |
| 92015 | Determination of refractive state | 1.7% | 8,686 | 8,064 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 2,613 | 1,498 | $5K |
| 92341 | <1% | 734 | 692 | $5K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 181 | 172 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 441 | 406 | $3K |
25 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 6,470 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 143 | $2K |
| 68761 | <1% | 502 | $2K | |
| 92273 | <1% | 823 | $1K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 686 | $397.74 |
| 92275 | <1% | 155 | $118.00 | |
| 92060 | <1% | 999 | $87.11 | |
| 3072F | <1% | 2,821 | $25.01 | |
| 1036F | <1% | 31,250 | $25.00 | |
| 92020 | <1% | 77 | $16.00 | |
| 76514 | <1% | 13 | $13.35 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 24,308 | $3.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 21,601 | $2.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 33,530 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 947 | $0.00 |
| 4177F | 0% | 2,405 | $0.00 | |
| 2022F | 0% | 4,532 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 4,362 | $0.00 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 2,436 | $0.00 |
| 5010F | 0% | 1,025 | $0.00 | |
| 99336 | 0% | 87 | $0.00 | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 15 | $0.00 |
| 99326 | 0% | 15 | $0.00 | |
| 2027F | 0% | 277 | $0.00 | |
| 0517F | 0% | 135 | $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 officialMERMELSTEIN, JACK (OWNER)