Family Optometry 121 PC
Family Optometry 121 PC was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 92250, — 22% of everything it billed.
33Billing provider infoFAMILY OPTOMETRY 121 PC
NEW YORK, NY 10035
NEW YORK, NY 10035
33aNPI1669710067assigned 01/21/2013
33bProvider typeOptometrist
28Total paid$2.40M
24GClaims81,868
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#21 of 1,605
Median peer was paid$29K
This provider vs. median82×
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 | 9,521 | $337K | |
| 2019 | 12,003 | $338K | |
| 2020 | 9,474 | $241K | |
| 2021 | 16,133 | $429K | |
| 2022 | 13,459 | $396K | |
| 2023 | 12,765 | $408K | |
| 2024incomplete | 8,513 | $250K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 22% | 11,546 | 11,505 | $521K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 6,881 | 6,866 | $400K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 4,868 | 4,857 | $343K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 10% | 6,289 | 6,190 | $252K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.4% | 9,817 | 6,910 | $129K |
| V2020 | Frames, purchases | 4.7% | 9,557 | 9,406 | $114K |
| 92060 | 3.8% | 2,540 | 2,520 | $90K | |
| 92202 | 3.3% | 5,139 | 3,873 | $78K | |
| 92083 | 3.2% | 1,628 | 1,611 | $76K | |
| 92225 | 3.0% | 4,065 | 2,461 | $73K | |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 2.8% | 227 | 227 | $67K |
| 92134 | 2.7% | 2,276 | 2,273 | $65K |
15 more codes
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.7% | 3,061 | $40K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.6% | 1,848 | $39K |
| 92020 | 1.5% | 2,866 | $36K | |
| 92015 | Determination of refractive state | 1.5% | 3,072 | $36K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 1,135 | $15K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,892 | $12K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 98 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 779 | $3K |
| 92133 | <1% | 90 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 62 | $1K |
| 92341 | <1% | 38 | $684.00 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 12 | $649.88 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 58 | $480.96 |
| V2744 | Tint, photochromatic, per lens | 0% | 12 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 12 | $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 officialHOT, ALIYA (OWNER/OPTOMETRIST)