Southern Vision Care PC.
Southern Vision Care PC. was paid $1.02M by Medicaid between Jan 2018 and Aug 2023, across 27 billing codes. Its largest line is 92083, — 23% of everything it billed.
33Billing provider infoSOUTHERN VISION CARE PC.
BRONX, NY 10459
BRONX, NY 10459
33aNPI1548308430assigned 02/02/2007
33bProvider typeOptometrist
28Total paid$1.02M
24GClaims31,541
24DCodes billed27
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#92 of 1,605
Median peer was paid$29K
This provider vs. median35×
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 | 6,048 | $195K | |
| 2019 | 6,964 | $210K | |
| 2020 | 4,387 | $154K | |
| 2021 | 7,123 | $230K | |
| 2022 | 5,116 | $171K | |
| 2023 | 1,903 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92083 | 23% | 4,645 | 4,495 | $230K | |
| 92250 | 18% | 4,080 | 4,041 | $188K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 2,071 | 2,057 | $138K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.9% | 1,206 | 1,200 | $101K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.4% | 1,426 | 1,417 | $76K |
| 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 | 5.6% | 1,028 | 1,014 | $57K |
| V2020 | Frames, purchases | 4.7% | 4,086 | 4,015 | $48K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.8% | 2,791 | 1,517 | $39K |
| 92133 | 3.2% | 1,112 | 1,105 | $33K | |
| 92015 | Determination of refractive state | 1.8% | 1,558 | 1,555 | $18K |
| 92020 | 1.5% | 1,111 | 1,078 | $15K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.3% | 332 | 319 | $13K |
15 more codes
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.2% | 856 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,193 | $9K |
| 92132 | <1% | 383 | $9K | |
| 76514 | <1% | 1,011 | $8K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 277 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,260 | $5K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 327 | $4K |
| 92341 | <1% | 230 | $4K | |
| 68761 | <1% | 24 | $2K | |
| 92082 | <1% | 27 | $1K | |
| 92002 | <1% | 32 | $1K | |
| V2219 | Bifocal seg width over 28 mm | <1% | 15 | $831.60 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | $593.53 |
| 92285 | <1% | 12 | $95.52 | |
| V2755 | U-v lens, per lens | 0% | 424 | $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 officialLACORTE, EDWARD (OWNER)