Modern Optika ,INC
Modern Optika ,INC was paid $453K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is V2020, Frames, purchases — 24% of everything it billed.
33Billing provider infoMODERN OPTIKA ,INC
BROOKLYN, NY 11223
BROOKLYN, NY 11223
33aNPI1861442022assigned 05/10/2006
33bProvider typeOptician
28Total paid$453K
24GClaims28,396
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optician providers in New York
Rank by total paid#18 of 184
Median peer was paid$46K
This provider vs. median9.9×
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 | 3,472 | $46K | |
| 2019 | 3,070 | $38K | |
| 2020 | 1,282 | $21K | |
| 2021 | 1,122 | $28K | |
| 2022 | 1,710 | $36K | |
| 2023 | 6,629 | $134K | |
| 2024incomplete | 11,111 | $150K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 24% | 3,084 | 3,081 | $109K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 2,599 | 2,599 | $89K |
| 92250 | 11% | 1,987 | 1,985 | $51K | |
| 92083 | 9.3% | 1,698 | 1,694 | $42K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.6% | 545 | 545 | $30K |
| 92132 | 5.0% | 1,578 | 1,577 | $23K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.4% | 1,462 | 1,458 | $20K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.7% | 840 | 485 | $17K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 3.5% | 851 | 851 | $16K |
| 83861 | 2.7% | 2,681 | 1,344 | $12K | |
| 92286 | 2.1% | 933 | 933 | $9K | |
| 92133 | 1.8% | 525 | 525 | $8K |
26 more codes
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.3% | 641 | $6K |
| 92202 | 1.1% | 755 | $5K | |
| 92273 | <1% | 368 | $4K | |
| 92285 | <1% | 313 | $3K | |
| 92145 | <1% | 381 | $2K | |
| 92226 | <1% | 476 | $2K | |
| 76512 | <1% | 119 | $2K | |
| 76514 | <1% | 287 | $473.04 | |
| 92020 | <1% | 39 | $344.17 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | $333.14 |
| 92341 | <1% | 13 | $278.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 186 | $260.00 |
| 1036F | <1% | 1,793 | $243.81 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 1,154 | $225.46 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 814 | $191.71 |
| 92134 | <1% | 32 | $147.65 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 313 | $109.20 |
| 5010F | <1% | 99 | $91.52 | |
| 4177F | <1% | 59 | $78.07 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | <1% | 98 | $74.03 |
| G8785 | Blood pressure reading not documented, reason not given | <1% | 159 | $67.71 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 221 | $61.14 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 681 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 381 | $0.00 |
| 2026F | 0% | 25 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 193 | $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 officialDONDE, LEONARD (OPTICIAN)