Eye Care of Lexington
Eye Care of Lexington was paid $116K by Medicaid between Jan 2018 and Apr 2021, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoEYE CARE OF LEXINGTON
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1194767962assigned 06/13/2006
33bProvider typeOptometrist
28Total paid$116K
24GClaims3,498
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#113 of 425
Median peer was paid$22K
This provider vs. median5.3×
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 | 1,008 | $33K | |
| 2019 | 984 | $31K | |
| 2020 | 956 | $31K | |
| 2021 | 550 | $21K |
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 | 36% | 555 | 553 | $41K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 32% | 578 | 577 | $37K |
| 92015 | Determination of refractive state | 18% | 1,402 | 1,395 | $21K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 836 | 830 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 70 | 65 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 44 | 29 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 13 | 13 | $520.00 |
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 officialBAILEY, JOEL (OPTOMETRIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Eye Associates of Winnsboro | Winnsboro, SC | $76K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.