Optical on Main INC
Optical on Main INC was paid $496K by Medicaid between Apr 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoOPTICAL ON MAIN INC
NEW ROCHELLE, NY 10801
NEW ROCHELLE, NY 10801
33aNPI1528095593assigned 06/27/2006
33bProvider typeOptician
28Total paid$496K
24GClaims9,662
24DCodes billed11
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Optician providers in New York
Rank by total paid#15 of 184
Median peer was paid$46K
This provider vs. median11×
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 | 1,806 | $76K | |
| 2019 | 2,422 | $140K | |
| 2020 | 1,402 | $76K | |
| 2021 | 834 | $48K | |
| 2022 | 1,140 | $57K | |
| 2023 | 1,276 | $59K | |
| 2024incomplete | 782 | $42K |
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 | 38% | 1,872 | 1,864 | $191K |
| V2020 | Frames, purchases | 34% | 3,581 | 3,531 | $166K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 850 | 849 | $85K |
| 92015 | Determination of refractive state | 7.3% | 2,104 | 2,100 | $36K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.4% | 392 | 229 | $7K |
| 99243 | 1.2% | 83 | 83 | $6K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 321 | 276 | $3K |
| 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 | <1% | 17 | 17 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 45 | 45 | $675.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 384 | 226 | $212.00 |
| V2199 | Not otherwise classified, single vision lens | 0% | 13 | 12 | $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 officialRODRIGUEZ, JESSICA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Healthier Lifestyle Solutions INC | Doral, FL | $393K |
| Sunflower Family Medicine LLC | Cutler Bay, FL | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.