Eye Care and Vision Associates Ophthalmology, LLP

Eye Care and Vision Associates Ophthalmology, LLP was paid $2.55M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.

33Billing provider infoEYE CARE AND VISION ASSOCIATES OPHTHALMOLOGY, LLP
ORCHARD PARK, NY 14127

33aNPI1710100581assigned 04/10/2007

33bProvider typeEyewear Supplier

28Total paid$2.55M

24GClaims66,050

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Eyewear Supplier providers in New York

Rank by total paid#5 of 244

Median peer was paid$44K

This provider vs. median58×

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	3,303	$134K
2019	4,086	$160K
2020	6,780	$215K
2021	12,298	$405K
2022	12,855	$486K
2023	14,524	$622K
2024incomplete	12,204	$532K

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	38%	11,674	11,662	$960K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	34%	11,001	10,983	$881K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.6%	2,145	2,111	$143K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	5.5%	6,417	3,306	$141K
V2020	Frames, purchases	4.7%	7,486	7,315	$121K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.8%	1,147	1,073	$71K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2.8%	2,296	1,196	$71K
92015	Determination of refractive state	1.7%	9,923	9,903	$42K
92250		1.6%	1,033	1,025	$40K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	266	266	$21K
92083		<1%	302	301	$14K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	480	250	$10K

14 more codes

92134		<1%	306	$9K
92133		<1%	330	$9K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	10,710	$5K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	<1%	210	$4K
99204	Doctor's office visit, new patient (more involved)	<1%	26	$3K
92002		<1%	39	$2K
92136		<1%	85	$2K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	54	$1K
S0620	Routine ophthalmological examination including refraction; new patient	<1%	27	$1K
83861		<1%	23	$510.30
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	13	$195.00
76514		<1%	12	$111.91
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	0%	28	$0.00
2023F		0%	17	$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 officialROZESKI, MARY PAT (OFFICE MANAGER)