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    OpenPayerNPI Medicare & MedicaidNew Castle Eye Associates,llc
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    New Castle Eye Associates,llc — Billing Profile & Reimbursement Data

    NPI 1841675444 · New Castle, DE · Optometrist

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    New Castle Eye Associates,llc is a optometrist provider located in New Castle, Delaware. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNew Castle Eye Associates,llc
    Address166 S Dupont Hwy
    CityNew Castle
    StateDE
    ZIP19720
    TaxonomyOptometrist
    NPI EnumeratedJuly 23, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$397.4K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V2020Frames, purchases4,010$20$80.1K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens1,480$50$77K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens1,560$40$61K
    92014An 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…1,310$40$56.4K
    S0621Routine ophthalmological examination including refraction; established patient740$50$39.2K
    V2784Lens, polycarbonate or equal, any index, per lens1,200$30$37.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.560$40$24K
    S0620Routine ophthalmological examination including refraction; new patient140$70$9.6K
    92012For 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…190$40$8.1K
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens50$50$2.2K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014An 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…1040330$50$172.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.1030150$70$55.7K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens1250540$40$53.9K
    V2020Frames, purchases460530$30$46.3K
    S0621Routine ophthalmological examination including refraction; established patient1540420$40$42.2K
    92012For 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…1520230$30$36.8K
    S0620Routine ophthalmological examination including refraction; new patient2340170$40$18.2K
    V2784Lens, polycarbonate or equal, any index, per lens630280$30$17.6K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens740360$20$13.5K
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens51050$40$6.4K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with New Castle Eye Associates,llc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey FilandroDEOptometrist$2.3K$193.9K
    Elizabeth CluffDEOptometrist$6.9K$68.3K

    Nearby Providers

    Other providers in the same ZIP code as New Castle Eye Associates,llc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Delaware & Marylands Eastern Shore, IncDEIntellectual & Developmental Disabilities Psychologist$0$315.9M
    Bayada Home Health Care, Inc.DEHome Health Agency$0$61.2M
    Conexio Care, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$15.8M
    Nurses 'n Kids, Inc.DEMedically Fragile Infants and Children Day Care$0$14.3M
    Delaware Diagnostic Labs, LLCDEClinical Medical Laboratory$3.1M$8.5M
    Point Of Hope Inc.DEIntellectual & Developmental Disabilities Psychologist$0$10M
    Anesthesia Services PADEAnesthesiology Physician$0$6.3M
    Collaborative Effort To Reinforce Transition Success, IncDEIntellectual & Developmental Disabilities Psychologist$0$4M
    Abundant Life Community Development CorporationDEIntellectual & Developmental Disabilities Psychologist$0$2M
    State Of DelawareDELocal Education Agency (LEA)$0$2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Delaware Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    New Castle Eye Associates,llc — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware