Optical Academy
Optical Academy was paid $62K by Medicaid between Jan 2018 and Dec 2019, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 69% of everything it billed.
33Billing provider infoOPTICAL ACADEMY
NEW YORK, NY 10036
NEW YORK, NY 10036
33aNPI1851663918assigned 02/06/2012
33bProvider typeOptician
28Total paid$62K
24GClaims2,704
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Optician providers in New York
Rank by total paid#83 of 184
Median peer was paid$46K
This provider vs. median1.3×
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 | 2,006 | $45K | |
| 2019 | 698 | $17K |
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 | 69% | 1,076 | 1,072 | $42K |
| V2020 | Frames, purchases | 11% | 489 | 489 | $7K |
| 92015 | Determination of refractive state | 9.8% | 474 | 471 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.8% | 128 | 127 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.4% | 302 | 275 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.7% | 66 | 66 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 29 | 29 | $976.24 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.3% | 108 | 73 | $800.68 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 32 | 16 | $246.48 |
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, ABEER (OPTICIAN)