Legacy Vision Center LLC
Legacy Vision Center LLC was paid $218K by Medicaid between Sep 2022 and Dec 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 67% of everything it billed.
33Billing provider infoLEGACY VISION CENTER LLC
ROCHESTER, NY 14626
ROCHESTER, NY 14626
33aNPI1891422382assigned 08/04/2022
33bProvider typeOptometrist
28Total paid$218K
24GClaims2,777
24DCodes billed9
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#372 of 1,605
Median peer was paid$29K
This provider vs. median7.4×
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 | |
|---|---|---|---|
| 2022 | 476 | $32K | |
| 2023 | 1,098 | $89K | |
| 2024incomplete | 1,203 | $97K |
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 | 67% | 1,218 | 1,218 | $145K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 373 | 373 | $37K |
| 92250 | 7.2% | 536 | 536 | $16K | |
| 92083 | 5.6% | 244 | 243 | $12K | |
| 92082 | 1.9% | 108 | 108 | $4K | |
| 99051 | <1% | 208 | 208 | $2K | |
| 92081 | <1% | 24 | 24 | $645.41 | |
| 92285 | <1% | 24 | 24 | $399.58 | |
| 76514 | <1% | 42 | 42 | $362.46 |
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 officialMOORE, JASON (OPTOMETRIST / OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Outreach Foundation, LLC | Petersburg, VA | $1.53M |
| Oak Medical,ltd | Jackson, OH | $1.28M |
| Jason A. Moore, D.C. PLLC | Huntington, WV | $78K |
| University Health Services, INC. | North Augusta, SC | $29K |
| Jason T. Moore, D.D.S. and Adam T. Dorsett, D.D.S., PA | Lewisville, NC | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.