Managed care
New Era Eyecare LLC
New Era Eyecare LLC was paid $25K by Medicaid between Oct 2018 and May 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 70% of everything it billed.
33Billing provider infoNEW ERA EYECARE LLC
CLIFTON, VA 20124
CLIFTON, VA 20124
33aNPI1801108576assigned 07/09/2010
33bProvider typePoint of Service
28Total paid$25K
24GClaims825
24DCodes billed7
24AFirst – last monthOct 2018 – May 2024
Compared with peers
Next to other Point of Service providers in Virginia
Rank by total paid#6 of 9
Median peer was paid$99K
This provider vs. median0.2×
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 | 186 | $5K | |
| 2019 | 480 | $11K | |
| 2023 | 85 | $4K | |
| 2024incomplete | 74 | $4K |
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 | 70% | 285 | 232 | $17K |
| V2020 | Frames, purchases | 9.8% | 218 | 163 | $2K |
| 92015 | Determination of refractive state | 7.8% | 216 | 164 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.1% | 59 | 45 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.7% | 15 | 14 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 2.6% | 14 | 14 | $640.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 18 | 12 | $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 officialADAIR, EDWIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| New Era Eyecare, LLC | Sterling, VA | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.