Carter, Margaret

Carter, Margaret was paid $171K by Medicaid between Feb 2018 and Oct 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 55% of everything it billed.

33Billing provider infoCARTER, MARGARET
LAKE CHARLES, LA 70601

33aNPI1063778504assigned 04/10/2012

33bProvider typeOphthalmology Physician

28Total paid$171K

24GClaims5,161

24DCodes billed10

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Louisiana

Rank by total paid#41 of 187

Median peer was paid$28K

This provider vs. median6.1×

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	1,462	$48K
2019	1,084	$31K
2020	779	$24K
2021	516	$19K
2022	510	$20K
2023	527	$18K
2024incomplete	283	$10K

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	55%	1,575	1,328	$94K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	20%	453	403	$34K
V2020	Frames, purchases	13%	1,441	1,282	$22K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	6.3%	902	839	$11K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2.6%	161	89	$4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2.0%	376	208	$3K
92340	Fitting of spectacles, except for aphakia; monofocal	1.1%	163	148	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	16	12	$465.14
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	21	13	$329.06
92015	Determination of refractive state	0%	53	45	$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.