Supplier
Raines Optical Company, LLC
Raines Optical Company, LLC was paid $506K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 30% of everything it billed.
33Billing provider infoRAINES OPTICAL COMPANY, LLC
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
33aNPI1871627679assigned 03/15/2007
33bProvider typeEyewear Supplier
28Total paid$506K
24GClaims34,504
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in New York
Rank by total paid#28 of 244
Median peer was paid$44K
This provider vs. median11×
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 | 808 | $24K | |
| 2019 | 3,331 | $36K | |
| 2020 | 5,792 | $42K | |
| 2021 | 6,381 | $81K | |
| 2022 | 7,964 | $126K | |
| 2023 | 7,949 | $143K | |
| 2024incomplete | 2,279 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 30% | 8,975 | 4,368 | $152K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 3,133 | 3,103 | $137K |
| V2020 | Frames, purchases | 17% | 8,302 | 8,074 | $85K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 8.0% | 1,776 | 877 | $41K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.1% | 1,335 | 1,331 | $36K |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 3.2% | 56 | 55 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.7% | 937 | 917 | $14K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.1% | 1,264 | 720 | $10K |
| V2219 | Bifocal seg width over 28 mm | 1.1% | 65 | 61 | $6K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 210 | 136 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 47 | 47 | $3K |
| 92341 | <1% | 134 | 127 | $3K |
5 more codes
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 officialRAINES, BARRY (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Raines Optical Company, LLC | Far Rockaway, NY | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.