Supplier
Lexington Optical Express
Lexington Optical Express was paid $9K by Medicaid between Jun 2019 and Sep 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.
33Billing provider infoLEXINGTON OPTICAL EXPRESS
NEW YORK, NY 10035
NEW YORK, NY 10035
33aNPI1528232030assigned 04/15/2008
33bProvider typeEyewear Supplier
28Total paid$9K
24GClaims330
24DCodes billed5
24AFirst – last monthJun 2019 – Sep 2024
Compared with peers
Next to other Eyewear Supplier providers in New York
Rank by total paid#173 of 244
Median peer was paid$44K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 55 | $1K | |
| 2020 | 12 | $843.36 | |
| 2024incomplete | 263 | $7K |
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 | 48% | 90 | 90 | $4K |
| V2020 | Frames, purchases | 26% | 132 | 131 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 22% | 83 | 83 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.9% | 13 | 13 | $175.50 |
| 92015 | Determination of refractive state | 1.6% | 12 | 12 | $144.00 |
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 officialHO, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Medstar - Georgetown Medical Center, INC. | Washington, DC | $45.62M |
| Modern Family Medicine Main Line LLC | Bryn Mawr, PA | $99K |
| David S Ho MD PA | Houston, TX | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.