Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RESIDENT EYE CARE ASSOCIATES, LLC

NPI: 1508883307 · FAIR LAWN, NJ 07410 · Optometrist · NPI assigned 07/16/2006

$673K
Total Medicaid Paid
256,833
Total Claims
236,228
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMERMELSTEIN, JACK (OWNER)
NPI Enumeration Date07/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 49,909 $139K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 35,059 32,972 $292K
92250 18,720 17,367 $144K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15,171 14,226 $111K
V2020 Frames, purchases 8,868 8,828 $42K
99308 Subsequent nursing facility care, per day, straightforward 678 674 $22K
99309 Subsequent nursing facility care, per day, low to moderate complexity 21,873 20,601 $16K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 4,195 2,465 $12K
92015 Determination of refractive state 8,686 8,064 $11K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2,613 1,498 $5K
92341 734 692 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 181 172 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 441 406 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6,470 6,179 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 143 114 $2K
68761 502 469 $2K
92273 823 751 $1K
99310 Prolong nursin fac eval 15m 686 652 $397.74
92275 155 155 $118.00
92060 999 911 $87.11
3072F 2,821 2,498 $25.01
1036F 31,250 29,036 $25.00
92020 77 76 $16.00
76514 13 13 $13.35
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 24,308 22,258 $3.00
G9744 Patient not eligible due to active diagnosis of hypertension 21,601 19,845 $2.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 33,530 30,907 $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 947 857 $0.00
4177F 2,405 2,072 $0.00
2022F 4,532 4,117 $0.00
G8785 Blood pressure reading not documented, reason not given 4,362 3,906 $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 2,436 2,096 $0.00
5010F 1,025 934 $0.00
99336 87 86 $0.00
S0621 Routine ophthalmological examination including refraction; established patient 15 15 $0.00
99326 15 15 $0.00
2027F 277 173 $0.00
0517F 135 128 $0.00