Insyte LLC
Insyte LLC was paid $568K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoINSYTE LLC
COLUMBIA, SC 29201
COLUMBIA, SC 29201
33aNPI1003233586assigned 03/24/2014
33bProvider typeOptometrist
28Total paid$568K
24GClaims16,228
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#18 of 425
Median peer was paid$22K
This provider vs. median26×
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 | 2,377 | $83K | |
| 2019 | 2,434 | $85K | |
| 2020 | 2,247 | $82K | |
| 2021 | 2,264 | $82K | |
| 2022 | 2,222 | $77K | |
| 2023 | 2,437 | $83K | |
| 2024incomplete | 2,247 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 40% | 3,821 | 3,645 | $228K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 1,617 | 1,573 | $131K |
| 92015 | Determination of refractive state | 13% | 5,213 | 5,027 | $72K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 3,914 | 3,854 | $72K |
| V2020 | Frames, purchases | 4.3% | 496 | 479 | $24K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.4% | 490 | 455 | $19K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.2% | 472 | 455 | $18K |
| V2025 | Deluxe frame | <1% | 96 | 93 | $1K |
| 92250 | <1% | 26 | 24 | $506.00 | |
| 92083 | <1% | 14 | 13 | $469.52 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 17 | 16 | $333.50 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 20 | 13 | $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 officialSPURLOCK, JOHN (CIO)