Supplier
Optical Palace2 LLC
Optical Palace2 LLC was paid $26K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92250, — 100% of everything it billed.
33Billing provider infoOPTICAL PALACE2 LLC
JERSEY CITY, NJ 07307
JERSEY CITY, NJ 07307
33aNPI1912072273assigned 11/22/2006
33bProvider typeEyewear Supplier
28Total paid$26K
24GClaims13,678
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in New Jersey
Rank by total paid#34 of 70
Median peer was paid$25K
This provider vs. median1.0×
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 | 1,173 | $0.00 | |
| 2019 | 1,019 | $0.00 | |
| 2020 | 1,524 | $0.00 | |
| 2021 | 1,811 | $0.00 | |
| 2022 | 2,128 | $0.00 | |
| 2023 | 2,231 | $4K | |
| 2024incomplete | 3,792 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 100% | 756 | 642 | $25K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,469 | 1,466 | $78.00 |
| 92015 | Determination of refractive state | 0% | 888 | 886 | $0.00 |
| V2520 | Contact lens, hydrophilic, spherical, per lens | 0% | 50 | 50 | $0.00 |
| V2020 | Frames, purchases | 0% | 2,742 | 2,717 | $0.00 |
| V2500 | Contact lens, pmma, spherical, per lens | 0% | 578 | 578 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 46 | 46 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 24 | 12 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 1,360 | 678 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 1,752 | 1,752 | $0.00 |
| V2599 | Contact lens, other type | 0% | 99 | 99 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 3,527 | 1,759 | $0.00 |
5 more codes
| S0592 | Comprehensive contact lens evaluation | 0% | 28 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 206 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 87 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 36 | $0.00 |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 30 | $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 officialRAITHATHA, MUKUL (OWNER)