Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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JG Vision Associates,inc

JG Vision Associates,inc was paid $118K by Medicaid between Jan 2018 and Apr 2023, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 23% of everything it billed.

33Billing provider infoJG VISION ASSOCIATES,INC
BRONX, NY 10467
33aNPI1861438707assigned 06/21/2006
33bProvider typeOptician
28Total paid$118K
24GClaims7,975
24DCodes billed16
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers

Next to other Optician providers in New York

Rank by total paid#49 of 184
Median peer was paid$46K
This provider vs. median2.6×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,854$24K
20192,361$30K
20201,212$16K
20211,448$24K
2022755$15K
2023345$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 961 956 $27K
V2020 Frames, purchases 22% 2,249 2,237 $25K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19% 621 618 $23K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 17% 1,587 871 $20K
92341 5.0% 342 340 $6K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.7% 801 485 $6K
V2784 Lens, polycarbonate or equal, any index, per lens 4.3% 817 465 $5K
92015 Determination of refractive state 1.6% 251 251 $2K
99243 <1% 13 13 $915.96
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 31 16 $870.00
99242 <1% 15 14 $713.84
92340 Fitting of spectacles, except for aphakia; monofocal <1% 42 41 $615.00
4 more codes
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 14 $600.88
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) <1% 13 $234.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 22 $98.56
V2755 U-v lens, per lens 0% 196 $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 officialGIAMBALVO, PHILIP (PRESIDENT)
Same official

Other billing entities under GIAMBALVO, PHILIP

Full network →
ProviderLocationPaid
Park Hill Optical, INCYonkers, NY$183K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.