Clinic
Optical 38 LLC
Optical 38 LLC was paid $262K by Medicaid between Oct 2018 and Nov 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.
33Billing provider infoOPTICAL 38 LLC
FLUSHING, NY 11354
FLUSHING, NY 11354
33aNPI1689181349assigned 01/03/2018
33bProvider typeHealth Service Clinic/Center
28Total paid$262K
24GClaims14,594
24DCodes billed10
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Health Service Clinic/Center providers in New York
Rank by total paid#33 of 54
Median peer was paid$410K
This provider vs. median0.6×
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 | 12 | $798.53 | |
| 2019 | 431 | $11K | |
| 2020 | 1,465 | $23K | |
| 2021 | 3,852 | $74K | |
| 2022 | 4,148 | $76K | |
| 2023 | 3,661 | $64K | |
| 2024incomplete | 1,025 | $13K |
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 | 38% | 1,697 | 1,687 | $99K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 31% | 4,492 | 2,229 | $81K |
| 92250 | 18% | 1,187 | 1,172 | $48K | |
| V2020 | Frames, purchases | 11% | 2,571 | 2,552 | $29K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 82 | 80 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,088 | 1,036 | $1K |
| 92134 | <1% | 12 | 12 | $360.24 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 26 | 13 | $205.40 |
| 92015 | Determination of refractive state | 0% | 929 | 924 | $0.00 |
| V2755 | U-v lens, per lens | 0% | 1,510 | 749 | $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 officialWONG, SIU SHING (OPTICIAN)