Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Vistasite Optique INC

Vistasite Optique INC was paid $261K by Medicaid between Apr 2019 and Dec 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.

33Billing provider infoVISTASITE OPTIQUE INC
NEW YORK, NY 10033
33aNPI1578052791assigned 05/02/2018
28Total paid$261K
24GClaims7,468
24DCodes billed14
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers

Next to other Ophthalmologic Surgery Clinic/Center providers in New York

Rank by total paid#8 of 14
Median peer was paid$261K
This provider vs. median1.0×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2019188$8K
20201,283$43K
20211,822$70K
20222,006$64K
20231,231$50K
2024incomplete938$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 35% 1,254 1,253 $91K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21% 955 947 $54K
92250 17% 978 976 $46K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 11% 1,707 965 $27K
V2020 Frames, purchases 10% 1,556 1,535 $27K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.2% 94 94 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.4% 87 83 $4K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 1.0% 147 84 $3K
92083 <1% 38 38 $2K
92133 <1% 26 26 $726.40
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 13 13 $488.12
92015 Determination of refractive state <1% 12 12 $296.40
2 more codes
V2784 Lens, polycarbonate or equal, any index, per lens <1% 487 $102.00
V2755 U-v lens, per lens 0% 114 $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 officialDVORETSKY, VLADIMIR (OD)
Same official

Other billing entities under DVORETSKY, VLADIMIR

Full network →
ProviderLocationPaid
Vista Optometry and Ophthalmic Dispensing Care PLLCNew York, NY$847K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.