Khoury, Sam
Khoury, Sam was paid $0.00 by Medicaid between Jan 2018 and Sep 2018, across 9 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 0% of everything it billed.
33Billing provider infoKHOURY, SAM
MAYS LANDING, NJ 08330
MAYS LANDING, NJ 08330
33aNPI1962889741assigned 04/30/2015
33bProvider typeOptometrist
28Total paid$0.00
24GClaims2,467
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#400 of 599
Median peer was paid$2K
This provider vs. median0.0×
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 | 2,467 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 423 | 235 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 510 | 284 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 138 | 138 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 130 | 69 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 20 | 20 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 540 | 540 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 93 | 93 | $0.00 |
| V2020 | Frames, purchases | 0% | 523 | 523 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 90 | 45 | $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.