Harlem Eye Care, INC
Harlem Eye Care, INC was paid $10.90M by Medicaid between Jul 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
33Billing provider infoHARLEM EYE CARE, INC
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1598274243assigned 09/26/2017
33bProvider typeOptometrist
28Total paid$10.90M
24GClaims212,287
24DCodes billed39
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#2 of 1,605
Median peer was paid$29K
This provider vs. median372×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LEE, DAVID controls 20+ related entities in our dataset. Read more
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 | 1,361 | $45K | |
| 2019 | 9,751 | $420K | |
| 2020 | 26,943 | $1.50M | |
| 2021 | 35,478 | $1.90M | |
| 2022 | 35,864 | $1.75M | |
| 2023 | 53,446 | $2.71M | |
| 2024incomplete | 49,444 | $2.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 23,436 | 23,366 | $1.64M |
| 68761 | 13% | 16,093 | 8,577 | $1.42M | |
| 68040 | 11% | 27,812 | 16,652 | $1.16M | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.6% | 12,894 | 12,811 | $1.05M |
| 76512 | 9.4% | 19,066 | 10,823 | $1.02M | |
| 92083 | 7.3% | 16,193 | 16,167 | $799K | |
| 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 | 6.3% | 9,900 | 9,872 | $685K |
| 92250 | 4.9% | 16,147 | 16,031 | $531K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.2% | 7,265 | 7,148 | $463K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.0% | 4,164 | 4,158 | $433K |
| 92100 | 3.1% | 5,265 | 5,213 | $341K | |
| 92286 | 2.3% | 8,233 | 8,229 | $246K |
27 more codes
| 92273 | 1.7% | 2,136 | $190K | |
| 92020 | 1.4% | 7,626 | $155K | |
| 92133 | <1% | 3,843 | $106K | |
| 92202 | <1% | 6,714 | $83K | |
| 92285 | <1% | 4,400 | $82K | |
| 92025 | <1% | 3,316 | $82K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 3,022 | $63K |
| 65778 | <1% | 54 | $55K | |
| V2020 | Frames, purchases | <1% | 2,537 | $51K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 232 | $41K |
| 92060 | <1% | 757 | $37K | |
| 68801 | <1% | 617 | $29K | |
| 92015 | Determination of refractive state | <1% | 2,246 | $29K |
| 92226 | <1% | 1,459 | $28K | |
| 92134 | <1% | 836 | $23K | |
| 76514 | <1% | 2,076 | $18K | |
| 92225 | <1% | 612 | $10K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 274 | $9K |
| 67820 | <1% | 484 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 156 | $7K |
| 92002 | <1% | 35 | $1K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 186 | $1K |
| 92082 | <1% | 29 | $815.73 | |
| 92201 | <1% | 50 | $712.52 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 32 | $57.16 |
| V2755 | U-v lens, per lens | 0% | 1,372 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 718 | $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 officialLEE, DAVID (OPHTHALMOLOGIST)
| Provider | Location | Paid |
|---|---|---|
| Contra Costa County | Martinez, CA | $536.98M |
| Contra Costa County | Pittsburg, CA | $202.20M |
| Contra Costa County | San Pablo, CA | $170.81M |
| Contra Costa County | Martinez, CA | $100.64M |
| Contra Costa County | Martinez, CA | $90.59M |
| Contra Costa County | Concord, CA | $83.05M |
| Contra Costa County | Antioch, CA | $65.79M |
| Contra Costa County | Martinez, CA | $64.10M |
| Contra Costa County | Brentwood, CA | $45.11M |
| Contra Costa County | Concord, CA | $33.14M |
| Lone Star Ambulance 1, LLC | Corpus Christi, TX | $31.57M |
| Contra Costa County | Martinez, CA | $30.20M |
| Contra Costa County | San Pablo, CA | $28.69M |
| Contra Costa County | Pittsburg, CA | $24.26M |
| Contra Costa County | Concord, CA | $19.55M |
| Contra Costa County | Antioch, CA | $17.16M |
| Contra Costa County | Martinez, CA | $15.98M |
| Contra Costa County | North Richmond, CA | $14.20M |
| Contra Costa County | San Pablo, CA | $13.26M |
| Contra Costa County | Bay Point, CA | $10.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.