5TH Avenue Vision Center LLC
5TH Avenue Vision Center LLC was paid $680K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 76512, — 18% of everything it billed.
33Billing provider info5TH AVENUE VISION CENTER LLC
BROOKLYN, NY 11220
BROOKLYN, NY 11220
33aNPI1568987972assigned 08/07/2017
33bProvider typeOptometrist
28Total paid$680K
24GClaims18,834
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#146 of 1,605
Median peer was paid$29K
This provider vs. median23×
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 | 1,726 | $75K | |
| 2019 | 1,949 | $74K | |
| 2020 | 3,440 | $111K | |
| 2021 | 4,675 | $154K | |
| 2022 | 4,135 | $145K | |
| 2023 | 2,421 | $110K | |
| 2024incomplete | 488 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76512 | 18% | 1,930 | 981 | $124K | |
| 92250 | 17% | 2,568 | 2,558 | $118K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 1,258 | 1,251 | $96K |
| 92083 | 14% | 1,850 | 1,835 | $92K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 10.0% | 1,143 | 1,140 | $68K |
| 92060 | 9.5% | 1,774 | 1,762 | $65K | |
| 92285 | 9.3% | 2,230 | 2,207 | $63K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.9% | 1,920 | 1,035 | $27K |
| V2020 | Frames, purchases | 2.8% | 1,523 | 1,498 | $19K |
| 92020 | <1% | 308 | 300 | $4K | |
| 92225 | <1% | 212 | 109 | $3K | |
| 92286 | <1% | 13 | 13 | $1K |
4 more codes
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 officialKAPELNIK, BORIS (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| Boris Kapelnik Od P.C. | Rego Park, NY | $3.86M |
| Fordham Vision Center NY LLC | Bronx, NY | $2.29M |
| Grand Vision Optometry P.C. | Brooklyn, NY | $1.33M |
| Jamaica Eye Care Center LLC | Jamaica, NY | $794K |
| Absolute Eyecare Center LLC | Brooklyn, NY | $686K |
| Sunny Vision Optometry PC | Sunnyside, NY | $442K |
| Forest Hills Optometry and Ophthalmic Dispensing PLLC | Forest Hills, NY | $39K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.