Physician
Clifton Eye Care LLC
Clifton Eye Care LLC was paid $438K by Medicaid between Jan 2018 and Nov 2019, across 35 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.
33Billing provider infoCLIFTON EYE CARE LLC
CLIFTON, NJ 07011
CLIFTON, NJ 07011
33aNPI1699838672assigned 12/19/2006
33bProvider typeOphthalmology Physician
28Total paid$438K
24GClaims14,047
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Ophthalmology Physician providers in New Jersey
Rank by total paid#33 of 213
Median peer was paid$20K
This provider vs. median22×
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 | 11,386 | $378K | |
| 2019 | 2,661 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30% | 1,810 | 1,799 | $133K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 17% | 1,398 | 1,325 | $75K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 859 | 857 | $71K |
| 92015 | Determination of refractive state | 8.9% | 3,053 | 3,044 | $39K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.7% | 2,003 | 2,000 | $38K |
| 92250 | 3.9% | 544 | 542 | $17K | |
| 92083 | 3.6% | 441 | 441 | $16K | |
| 92275 | 2.4% | 113 | 113 | $11K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.0% | 28 | 26 | $9K |
| 92133 | 1.2% | 248 | 248 | $5K | |
| 92226 | 1.1% | 377 | 207 | $5K | |
| 92134 | <1% | 202 | 202 | $4K |
23 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 85 | $4K |
| 92225 | <1% | 159 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 30 | $2K |
| 92136 | <1% | 38 | $981.40 | |
| 92002 | <1% | 16 | $843.98 | |
| 92020 | <1% | 54 | $829.96 | |
| V2020 | Frames, purchases | <1% | 493 | $820.00 |
| 92235 | <1% | 22 | $803.16 | |
| 92060 | <1% | 13 | $555.39 | |
| 92285 | <1% | 39 | $363.76 | |
| 92025 | <1% | 14 | $348.16 | |
| 76514 | <1% | 34 | $336.60 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 460 | $273.60 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 281 | $252.00 |
| V2755 | U-v lens, per lens | <1% | 14 | $222.30 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 140 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 26 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 56 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 311 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 51 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 221 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 100 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 314 | $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 officialSTEGMAN, DANIEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| NJ Eye and Ear LLC | Englewood, NJ | $23.52M |
| Englewood Eye Center, LLC | Englewood, NJ | $73K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.