Optical Warehouse Outlet of Brooklyn INC

Optical Warehouse Outlet of Brooklyn INC was paid $103K by Medicaid between Feb 2018 and Nov 2024, across 11 billing codes. Its largest line is 92250, — 30% of everything it billed.

33Billing provider infoOPTICAL WAREHOUSE OUTLET OF BROOKLYN INC
BROOKLYN, NY 11226

33aNPI1982646477assigned 06/11/2006

33bProvider typeExclusive Provider Organization

28Total paid$103K

24GClaims4,047

24DCodes billed11

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Exclusive Provider Organization providers in New York

Rank by total paid#14 of 24

Median peer was paid$123K

This provider vs. median0.8×

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	212	$5K
2019	268	$6K
2020	413	$10K
2021	1,079	$28K
2022	723	$21K
2023	969	$28K
2024incomplete	383	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92250		30%	680	663	$31K
V2020	Frames, purchases	17%	1,285	1,276	$17K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	16%	981	550	$17K
92083		16%	328	323	$16K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	13%	226	223	$13K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	6.4%	88	88	$7K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	93	58	$995.44
92015	Determination of refractive state	<1%	63	63	$732.00
92133		<1%	13	13	$394.09
76514		<1%	12	12	$44.21
V2755	U-v lens, per lens	0%	278	138	$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 officialDAVYDOV, YURY (PRESIDENT)