DM OPTICAL INC

NPI 1457414286, organization, Brooklyn, NY, Optometrist

Evidence tier

documented action, then payment

Listed on the NY Medicaid exclusion list since September 22, 2016.
Medicaid still paid claims in 26 later months, $1,183,544 in total.

score 96 of 100, rank 60, $1.2M at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
NY Medicaid exclusion list ny omig medicaid exclusion list (tab-delimited, sept 2026)	Exact NPI, name verified	Sep 22, 2016	still open	26	Jan 2018	Feb 2020	$1.2M	$0

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	DM OPTICAL INC (also 9 STREET OPTICAL)
Type	Organization
Status	Active
NPI issued	December 19, 2006, last updated April 14, 2008
Practice location	332 9TH ST, Brooklyn, NY 11215-4058, 718-965-2545
Authorized official	MAKSIM GRINBERG (owner)
Specialties	Optometrist (152W00000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
92014	Established patient complete exam of visual system	$233K	20%	$96	$51 (top 5% from $107)	93rd percentile
92012	Established patient problem focused exam of visual system	$174K	15%	$72	$39 (top 5% from $88)	88th percentile
68040	Removal of scars of eyelid lining due to infection	$118K	10%	$78		too few months to rank
92083	Exam of visual field with extended testing	$108K	9%	$53	$31 (top 5% from $58)	92nd percentile
76512	2d ultrasound scan of eye tissue and structures	$97K	8%	$115	$68 (top 5% from $131)	84th percentile
68761	Closure of tear duct opening using plug	$91K	8%	$182	$114 (top 5% from $202)	92nd percentile
92250	Photography of the retina	$89K	8%	$47	$29 (top 5% from $52)	89th percentile
92226	Medicaid service code	$76K	6%	$39	$18 (top 5% from $70)	86th percentile

In this area

133 providers in Kings County, NY carry an indicator in the public record, with $470.6M at stake between them. The most common is more hours than a day holds, on 108 of them, followed by named in an enforcement record on 12. 10 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	FAST LAB TECHNOLOGIES LLC Brooklyn, NY, ranked 8	$4K	Listed on the SC Medicaid exclusion list since November 19, 2024. Medicaid still paid claims in 1 later month, $3,896 in total. and 4 more
1	FAMILY SOCIAL ADULT DAY CARE Brooklyn, NY, ranked 49	$2.4M	Adjudicated (pleaded guilty, indicted) per an HHS-OIG enforcement record and a Department of Justice release dated October 9, 2024. Medicaid paid $2,438,115 in the last 12 observed months.
1	QUALITY HEALTHCARE MANAGEMENT INC Brooklyn, NY, ranked 61	$1.1M	Listed on the KY Medicaid exclusion list since October 7, 2023. Medicaid still paid claims in 14 later months, $1,092,507 in total.
1	PRIME LIFE ADULT DAY CARE LLC Brooklyn, NY, ranked 70	$837K	Adjudicated (sentenced) per a Department of Justice release dated July 20, 2026. Medicaid paid $837,270 in the last 12 observed months.
1	COMPREHENSIVE MEDICAL DIAGNOSTIC, PC Brooklyn, NY, ranked 145	$105K	Listed on the NY Medicaid exclusion list and the Medicare revocation list since December 13, 2017. Medicaid still paid claims in 33 later months, $105,407 in total.
1	MODERN MEDICAL TESTING, P.C. Brooklyn, NY, ranked 146	$104K	Listed on the NY Medicaid exclusion list since July 9, 2019. Medicaid still paid claims in 11 later months, $103,835 in total.
1	JOHN YIU Brooklyn, NY, ranked 193	$48K	Listed on the Medicare revocation list since March 6, 2024. Medicaid still paid claims in 5 later months, $48,038 in total.
1	ROBERT VACCARINO Brooklyn, NY, ranked 376	$2K	Listed on the NY Medicaid exclusion list since December 13, 2017. Medicaid still paid claims in 3 later months, $1,562 in total.

All 133 in NY

Recent enforcement in NY

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedAug 20, 2026

Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme

Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.

DOJIndictedAug 20, 2026

Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme

Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.

DOJCivil settlementAug 17, 2026

Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations

The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.

DOJSentencedJul 21, 2026

Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme

Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.

DOJIndictedJul 2, 2026

Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme

The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.

Referral packet

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