Rose, Joel
Rose, Joel was paid $608K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 64% of everything it billed.
33Billing provider infoROSE, JOEL
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
33aNPI1760549554assigned 01/02/2007
33bProvider typeOptometrist
28Total paid$608K
24GClaims79,269
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#20 of 599
Median peer was paid$2K
This provider vs. median338×
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 | 10,259 | $110K | |
| 2019 | 10,822 | $100K | |
| 2020 | 7,830 | $66K | |
| 2021 | 10,922 | $77K | |
| 2022 | 13,562 | $85K | |
| 2023 | 13,943 | $93K | |
| 2024incomplete | 11,931 | $78K |
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 | 64% | 18,039 | 16,585 | $392K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 4,718 | 4,679 | $87K |
| 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 | 9.6% | 1,397 | 1,365 | $58K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.7% | 3,023 | 3,006 | $41K |
| 92015 | Determination of refractive state | 3.4% | 10,192 | 10,136 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 41 | 41 | $3K |
| V2020 | Frames, purchases | <1% | 11,232 | 11,069 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 14,108 | 7,920 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 13,085 | 7,103 | $2K |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | <1% | 56 | 56 | $39.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,736 | 915 | $34.00 |
| 2022F | 0% | 195 | 187 | $0.00 |
9 more codes
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 222 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 47 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 361 | $0.00 |
| 2023F | 0% | 58 | $0.00 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 340 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 156 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 79 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 158 | $0.00 |
| V2299 | Specialty bifocal (by report) | 0% | 26 | $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.