Managed care
Custom Eyes INC.
Custom Eyes INC. was paid $103K by Medicaid between Sep 2018 and Nov 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.
33Billing provider infoCUSTOM EYES INC.
SELDEN, NY 11784
SELDEN, NY 11784
33aNPI1992984504assigned 10/31/2007
33bProvider typePoint of Service
28Total paid$103K
24GClaims6,053
24DCodes billed8
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Point of Service providers in New York
Rank by total paid#6 of 14
Median peer was paid$62K
This provider vs. median1.6×
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 | 78 | $2K | |
| 2019 | 205 | $5K | |
| 2020 | 1,019 | $13K | |
| 2021 | 1,373 | $21K | |
| 2022 | 1,612 | $29K | |
| 2023 | 1,335 | $25K | |
| 2024incomplete | 431 | $8K |
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 | 53% | 1,515 | 1,513 | $54K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 20% | 1,158 | 566 | $20K |
| V2020 | Frames, purchases | 15% | 1,329 | 1,298 | $15K |
| 92015 | Determination of refractive state | 6.7% | 1,383 | 1,376 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.9% | 338 | 337 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 38 | 37 | $906.52 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 212 | 109 | $60.00 |
| 3072F | 0% | 80 | 80 | $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 officialPOLAN, SETH (OPTICIAN/OWNER)