Boone Trail Optometric Eye Care, PLLC
Boone Trail Optometric Eye Care, PLLC was paid $192K by Medicaid between May 2019 and Dec 2024, across 5 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 40% of everything it billed.
33Billing provider infoBOONE TRAIL OPTOMETRIC EYE CARE, PLLC
NORTH WILKESBORO, NC 28659
NORTH WILKESBORO, NC 28659
33aNPI1083850606assigned 01/02/2009
33bProvider typeOptometrist
28Total paid$192K
24GClaims6,425
24DCodes billed5
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#150 of 636
Median peer was paid$41K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2019 | 1,359 | $33K | |
| 2020 | 1,126 | $35K | |
| 2021 | 1,182 | $34K | |
| 2022 | 846 | $26K | |
| 2023 | 948 | $32K | |
| 2024incomplete | 964 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 40% | 842 | 787 | $77K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 31% | 868 | 770 | $60K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 2,198 | 2,010 | $38K |
| 92370 | 8.7% | 2,504 | 2,289 | $17K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | 12 | $164.74 |
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 officialSWARINGEN, SANDRA (OWNER)