Primary Vision Care 1, LLC
Primary Vision Care 1, LLC was paid $19K by Medicaid between Jan 2018 and Jul 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 21% of everything it billed.
33Billing provider infoPRIMARY VISION CARE 1, LLC
BRONX, NY 10462
BRONX, NY 10462
33aNPI1578583415assigned 07/21/2006
33bProvider typeOptometrist
28Total paid$19K
24GClaims1,498
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#889 of 1,605
Median peer was paid$29K
This provider vs. median0.6×
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 | 1,418 | $18K | |
| 2024incomplete | 80 | $1K |
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 | 21% | 227 | 227 | $4K |
| V2020 | Frames, purchases | 15% | 427 | 427 | $3K |
| 92250 | 15% | 85 | 84 | $3K | |
| 92100 | 11% | 35 | 34 | $2K | |
| 92083 | 8.7% | 29 | 29 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.4% | 35 | 34 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.0% | 233 | 123 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 4.7% | 44 | 44 | $880.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.1% | 99 | 52 | $589.54 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.6% | 80 | 41 | $498.68 |
| 76514 | 1.8% | 47 | 46 | $335.76 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 100 | 52 | $173.12 |
2 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 officialWILLIAMS, SHARON (CEO/DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Metta Vibes LLC | Mesa, AZ | $393K |
| Ridgemont Manor, INC | Memphis, TN | $232K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.