Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

National Vision Administrators, LLC (NPI 1386077832)

Field	Value
Entity Type	Organization
Organization	National Vision Administrators, LLC
Address	1200 Route 46
City	Clifton
State	NJ
ZIP	07013
Taxonomy	Eyewear Supplier
NPI Enumerated	August 19, 2013

Payer Source	Total Paid
Medicaid	$15.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2784	Lens, polycarbonate or equal, any index, per lens	269,530	$20	$4.9M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	176,430	$20	$3.7M
V2020	Frames, purchases	287,800	$10	$2.6M
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	68,950	$20	$1.1M
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	48,580	$20	$874.4K
V2780	Oversize lens, per lens	18,760	$20	$337.6K
V2799	Vision item or service, miscellaneous	36,850	$10	$294.8K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	12,190	$20	$280.5K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	12,520	$20	$225.4K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	19,150	$10	$172.3K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

National Vision Administrators, LLC — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2780	Oversize lens, per lens	1	10	18,760	$20	$341.3K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	1	10	6,270	$20	$114.2K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	151	230	260	$30	$51.4K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	123	730	470	$20	$51K
V2108	Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens	1	10	3,970	$10	$47K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	258	330	280	$20	$34.3K
V2109	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens	1	10	2,470	$10	$27.7K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	122	690	260	$30	$27.2K
V2207	Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens	1	10	1,210	$20	$21.8K
V2783	Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens	5	10	160	$50	$18.6K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as National Vision Administrators, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Med Screen Laboratories Inc	NJ	Clinical Medical Laboratory	$177.8K	$29M
Casa Home Care, Inc	NJ	Home Health Agency	$0	$21.7M
Clifton Adult Opportunity Center	NJ	Developmentally Disabled Services Day Training Agency	$0	$21.4M
Mental Health Clinic Of Passaic Inc	NJ	Community/Behavioral Health Agency	$0	$16.7M
Fares Diarbakerli Md PC	NJ	Obstetrics & Gynecology Physician	$0	$16.5M
Charles Haddad, Md	NJ	Obstetrics & Gynecology Physician	$0	$12.6M
Clifton Board Of Education	NJ	Local Education Agency (LEA)	$0	$11.9M
Adult Family Health Services LLC	NJ	Mental Health Counselor	$0	$9.7M
Cassovia Ambulance Limited Liability Company	NJ	Land Ambulance	$1.4M	$100K
Oliver Youssef	NJ	Otolaryngology/Facial Plastic Surgery Physician	$120.3K	$1.4M

National Vision Administrators, LLC — Billing Profile & Reimbursement Data

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National Vision Administrators, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References