Mosholu Optical INC

Mosholu Optical INC was paid $236K by Medicaid between Jan 2018 and Feb 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.

33Billing provider infoMOSHOLU OPTICAL INC
BRONX, NY 10467

33aNPI1659548238assigned 05/13/2008

33bProvider typeEyewear Supplier

28Total paid$236K

24GClaims10,867

24DCodes billed11

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Eyewear Supplier providers in New York

Rank by total paid#59 of 244

Median peer was paid$44K

This provider vs. median5.3×

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	448	$8K
2019	668	$11K
2020	2,308	$41K
2021	2,609	$57K
2022	2,574	$65K
2023	2,104	$51K
2024incomplete	156	$2K

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	32%	1,113	1,112	$75K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	20%	3,166	1,728	$46K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	19%	749	748	$44K
V2020	Frames, purchases	19%	3,422	3,335	$44K
92340	Fitting of spectacles, except for aphakia; monofocal	5.4%	966	958	$13K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1.9%	228	110	$4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1.4%	346	277	$3K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	669	340	$1K
92015	Determination of refractive state	<1%	111	111	$1K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	<1%	84	83	$1K
V2782	Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens	<1%	13	13	$768.04

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 officialGREENSPAN, EDWARD (PRESIDENT)