DR. David Tsai, Optometrist, PLLC
DR. David Tsai, Optometrist, PLLC was paid $324K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 31% of everything it billed.
33Billing provider infoDR. DAVID TSAI, OPTOMETRIST, PLLC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1932305083assigned 06/25/2007
33bProvider typeOptometrist
28Total paid$324K
24GClaims23,596
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#289 of 1,605
Median peer was paid$29K
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 | 2,364 | $22K | |
| 2019 | 3,690 | $35K | |
| 2020 | 3,117 | $31K | |
| 2021 | 5,230 | $72K | |
| 2022 | 3,847 | $72K | |
| 2023 | 3,895 | $66K | |
| 2024incomplete | 1,453 | $26K |
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 | 31% | 6,455 | 3,269 | $102K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 27% | 2,536 | 2,501 | $89K |
| V2020 | Frames, purchases | 16% | 5,268 | 5,236 | $52K |
| 92002 | 12% | 1,164 | 1,164 | $38K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.6% | 660 | 655 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 300 | 297 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.0% | 808 | 455 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 293 | 293 | $6K |
| 92250 | <1% | 55 | 55 | $2K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 5,035 | 2,513 | $1K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 40 | 40 | $1K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 59 | 30 | $941.42 |
2 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 officialTSAI, DAVID (OPTOMETRIST)