Eyewear Palace INC.

Eyewear Palace INC. was paid $346K by Medicaid between Jan 2018 and Jan 2020, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 19% of everything it billed.

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	4,094	$171K
2019	4,254	$175K
2020	43	$441.56

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	19%	866	864	$66K
92250		19%	1,370	1,363	$65K
76512		17%	985	567	$60K
92083		17%	1,141	1,108	$59K
92285		11%	1,401	1,378	$39K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.5%	400	400	$26K
92060		6.2%	576	568	$21K
92225		1.4%	352	172	$5K
V2020	Frames, purchases	<1%	798	797	$3K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	260	130	$1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	140	72	$821.60
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	26	13	$228.64

2 more codes

V2755	U-v lens, per lens	0%	44	$0.00
V2784	Lens, polycarbonate or equal, any index, per lens	0%	32	$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 officialKOLESNYK, VICTOR (MANAGER)