Physician
Palmetto Cataract and Eye Specialists, LLC
Palmetto Cataract and Eye Specialists, LLC was paid $27K by Medicaid between Jan 2018 and Jan 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 48% of everything it billed.
33Billing provider infoPALMETTO CATARACT AND EYE SPECIALISTS, LLC
SUMMERVILLE, SC 29486
SUMMERVILLE, SC 29486
33aNPI1114280526assigned 06/20/2012
33bProvider typeOphthalmology Physician
28Total paid$27K
24GClaims623
24DCodes billed5
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Ophthalmology Physician providers in South Carolina
Rank by total paid#22 of 64
Median peer was paid$15K
This provider vs. median1.8×
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 | 103 | $3K | |
| 2019 | 117 | $5K | |
| 2020 | 107 | $3K | |
| 2021 | 52 | $3K | |
| 2022 | 148 | $8K | |
| 2023 | 71 | $4K | |
| 2024incomplete | 25 | $897.96 |
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 | 48% | 193 | 188 | $13K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 23% | 45 | 44 | $6K |
| 92015 | Determination of refractive state | 21% | 292 | 285 | $6K |
| 92133 | 5.7% | 79 | 78 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.2% | 14 | 12 | $599.16 |
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 officialITHARAT, PRAT (OWNER)