DLJ Spectacles
DLJ Spectacles was paid $217K by Medicaid between Oct 2019 and Dec 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoDLJ SPECTACLES
BAY SHORE, NY 11706
BAY SHORE, NY 11706
33aNPI1629545157assigned 11/02/2018
33bProvider typeOptometrist
28Total paid$217K
24GClaims6,665
24DCodes billed7
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#375 of 1,605
Median peer was paid$29K
This provider vs. median7.4×
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 | |
|---|---|---|---|
| 2019 | 15 | $379.08 | |
| 2020 | 621 | $23K | |
| 2021 | 1,265 | $45K | |
| 2022 | 1,545 | $55K | |
| 2023 | 2,044 | $61K | |
| 2024incomplete | 1,175 | $32K |
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 | 40% | 1,420 | 1,353 | $87K |
| 92250 | 31% | 1,679 | 1,629 | $68K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16% | 1,917 | 1,074 | $35K |
| V2020 | Frames, purchases | 6.8% | 1,198 | 1,174 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.1% | 225 | 220 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 12 | $706.10 |
| 92015 | Determination of refractive state | <1% | 212 | 209 | $49.32 |
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 officialDAWSON, STUART (OWNER)