Optical Outlet LLC
Optical Outlet LLC was paid $549K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoOPTICAL OUTLET LLC
PATERSON, NJ 07503
PATERSON, NJ 07503
33aNPI1851550016assigned 06/03/2008
33bProvider typeOptometrist
28Total paid$549K
24GClaims81,473
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#22 of 599
Median peer was paid$2K
This provider vs. median305×
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 | 3,731 | $78K | |
| 2019 | 3,364 | $73K | |
| 2020 | 9,687 | $71K | |
| 2021 | 13,006 | $92K | |
| 2022 | 17,494 | $97K | |
| 2023 | 19,082 | $89K | |
| 2024incomplete | 15,109 | $49K |
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% | 13,431 | 13,245 | $210K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 7,613 | 7,530 | $121K |
| V2020 | Frames, purchases | 9.2% | 13,207 | 13,100 | $50K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.6% | 21,301 | 12,202 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 1,875 | 1,727 | $45K |
| 92250 | 4.3% | 894 | 847 | $24K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.3% | 6,391 | 3,770 | $23K |
| 92015 | Determination of refractive state | 3.0% | 11,640 | 11,583 | $16K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.0% | 2,384 | 1,338 | $6K |
| 92285 | <1% | 70 | 69 | $2K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 264 | 264 | $2K |
| 3072F | 0% | 1,858 | 1,788 | $0.00 |
6 more codes
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 59 | $0.00 |
| 2033F | 0% | 13 | $0.00 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 84 | $0.00 |
| V2500 | Contact lens, pmma, spherical, per lens | 0% | 40 | $0.00 |
| 2026F | 0% | 335 | $0.00 | |
| 2025F | 0% | 14 | $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 officialAYOUB, ABBY (MANAGER)