Physician
Western Carolina Eye Associates, PA
Western Carolina Eye Associates, PA was paid $179K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 38% of everything it billed.
33Billing provider infoWESTERN CAROLINA EYE ASSOCIATES, PA
BOONE, NC 28607
BOONE, NC 28607
33aNPI1093776403assigned 03/28/2006
33bProvider typeOphthalmology Physician
28Total paid$179K
24GClaims6,765
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#33 of 118
Median peer was paid$22K
This provider vs. median8.0×
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 | 805 | $27K | |
| 2019 | 1,621 | $51K | |
| 2020 | 1,087 | $37K | |
| 2021 | 1,052 | $28K | |
| 2022 | 566 | $9K | |
| 2023 | 1,015 | $18K | |
| 2024incomplete | 619 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 38% | 925 | 830 | $69K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 27% | 2,364 | 2,339 | $49K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 22% | 411 | 394 | $39K |
| 92370 | 12% | 3,040 | 3,004 | $21K | |
| 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% | 12 | 12 | $593.42 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 13 | 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 officialCASE, KATHY (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Atlantic Psychiatric Centers, INC. | Palm Bay, FL | $232K |
| Western Carolina Eye Associates, PA | Jefferson, NC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.