Lee, Carolina
Lee, Carolina was paid $9K by Medicaid between Feb 2018 and Mar 2022, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 81% of everything it billed.
33Billing provider infoLEE, CAROLINA
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1023264314assigned 08/18/2008
33bProvider typeOptometrist
28Total paid$9K
24GClaims248
24DCodes billed2
24AFirst – last monthFeb 2018 – Mar 2022
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,193 of 1,899
Median peer was paid$23K
This provider vs. median0.4×
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 | 137 | $5K | |
| 2021 | 72 | $3K | |
| 2022 | 39 | $1K |
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 | 81% | 81 | 81 | $7K |
| 92015 | Determination of refractive state | 19% | 167 | 166 | $2K |
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.