Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pelham Parkway Vision Center INC

Pelham Parkway Vision Center INC was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 92250, — 17% of everything it billed.

33Billing provider infoPELHAM PARKWAY VISION CENTER INC
BRONX, NY 10462
33aNPI1740402205assigned 05/03/2007
28Total paid$1.61M
24GClaims48,905
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Vision Therapy Optometrist providers in New York

Rank by total paid#1 of 12
Median peer was paid$180K
This provider vs. median9.0×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20182,690$96K
20193,991$136K
20204,154$124K
20218,488$274K
202211,696$406K
202311,754$379K
2024incomplete6,132$193K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92250 17% 6,455 6,424 $280K
68761 17% 3,852 1,892 $267K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 10% 2,516 2,502 $168K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9.3% 2,613 2,590 $149K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.6% 2,564 2,562 $138K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.7% 2,953 2,948 $107K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 6.6% 6,118 3,574 $106K
92083 5.6% 1,994 1,960 $90K
V2020 Frames, purchases 5.1% 7,108 7,062 $82K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.7% 2,598 2,385 $59K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3.2% 1,322 1,185 $51K
92133 3.0% 3,403 3,394 $49K
16 more codes
92340 Fitting of spectacles, except for aphakia; monofocal <1% 729 $10K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 305 $8K
92285 <1% 301 $8K
99204 Doctor's office visit, new patient (more involved) <1% 87 $7K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 948 $7K
99214 Doctor's office visit, returning patient (more involved) <1% 100 $6K
92015 Determination of refractive state <1% 327 $4K
92225 <1% 263 $3K
92202 <1% 243 $2K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 1,867 $2K
92286 <1% 26 $2K
92226 <1% 83 $952.16
92134 <1% 68 $575.62
V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens <1% 13 $471.24
V2780 Oversize lens, per lens <1% 31 $366.56
76514 <1% 18 $106.75

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 officialLISITSYN, OLEG (PART OWNER)
Same official

Other billing entities under LISITSYN, OLEG

Full network →
ProviderLocationPaid
Bronx Vista INCBronx, NY$4.10M
Complete Family Eye Care Optometry PABridgewater, NJ$34K
Family Eye Care Optometry PCBrooklyn, NY$19K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.