Couture Optical NYC, INC.
Couture Optical NYC, INC. was paid $434K by Medicaid between Mar 2018 and Sep 2024, across 24 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoCOUTURE OPTICAL NYC, INC.
BROOKLYN, NY 11204
BROOKLYN, NY 11204
33aNPI1851713101assigned 01/06/2014
33bProvider typeOptometrist
28Total paid$434K
24GClaims12,167
24DCodes billed24
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#227 of 1,605
Median peer was paid$29K
This provider vs. median15×
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 | 456 | $15K | |
| 2019 | 1,471 | $61K | |
| 2020 | 1,588 | $63K | |
| 2021 | 2,650 | $95K | |
| 2022 | 3,955 | $135K | |
| 2023 | 1,962 | $62K | |
| 2024incomplete | 85 | $3K |
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 | 36% | 2,293 | 2,288 | $156K |
| 92250 | 29% | 2,707 | 2,700 | $126K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.9% | 547 | 542 | $30K |
| 92015 | Determination of refractive state | 6.8% | 2,472 | 2,470 | $29K |
| 92083 | 3.2% | 273 | 272 | $14K | |
| 92285 | 2.7% | 917 | 914 | $12K | |
| 92060 | 2.1% | 253 | 252 | $9K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.0% | 658 | 655 | $9K |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 2.0% | 29 | 29 | $9K |
| V2219 | Bifocal seg width over 28 mm | 1.9% | 94 | 92 | $8K |
| V2020 | Frames, purchases | 1.8% | 811 | 806 | $8K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.3% | 155 | 153 | $6K |
12 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 64 | $5K |
| 92225 | <1% | 102 | $3K | |
| 92341 | <1% | 126 | $2K | |
| 92202 | <1% | 135 | $2K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 217 | $2K |
| 92020 | <1% | 103 | $1K | |
| 68761 | <1% | 12 | $1K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 84 | $732.60 |
| 92133 | <1% | 13 | $373.55 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | $322.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 16 | $302.40 |
| 3072F | 0% | 72 | $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 officialODESSKIY, MIKHAIL (OWNER)