Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Coastal Vision Center Od PA

Coastal Vision Center Od PA was paid $122K by Medicaid between Jul 2018 and Oct 2024, across 13 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 40% of everything it billed.

33Billing provider infoCOASTAL VISION CENTER OD PA
WHITEVILLE, NC 28472
33aNPI1194877373assigned 01/17/2007
33bProvider typeOptometrist
28Total paid$122K
24GClaims7,269
24DCodes billed13
24AFirst – last monthJul 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in North Carolina

Rank by total paid#203 of 636
Median peer was paid$41K
This provider vs. median3.0×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018362$0.00
201971$0.00
2020196$0.00
202148$0.00
20222,249$34K
20233,027$53K
2024incomplete1,316$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 40% 855 609 $49K
S0620 Routine ophthalmological examination including refraction; new patient 40% 700 486 $48K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 901 676 $18K
92250 2.9% 533 419 $4K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.1% 87 76 $1K
92133 <1% 48 39 $716.34
92273 <1% 13 13 $540.95
92083 <1% 14 12 $411.09
G8785 Blood pressure reading not documented, reason not given 0% 939 732 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 704 527 $0.00
G9905 Patient not screened for tobacco use 0% 14 14 $0.00
1036F 0% 1,261 903 $0.00
1 more codes
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 1,200 $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 officialKIRBY, THOMAS (OWNER)