Physician
Graystone Ophthalmology Associates, P.A.
Graystone Ophthalmology Associates, P.A. was paid $543K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 46% of everything it billed.
33Billing provider infoGRAYSTONE OPHTHALMOLOGY ASSOCIATES, P.A.
LENOIR, NC 28645
LENOIR, NC 28645
33aNPI1205923240assigned 10/10/2006
33bProvider typeOphthalmology Physician
28Total paid$543K
24GClaims17,230
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#17 of 118
Median peer was paid$22K
This provider vs. median24×
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 | 1,879 | $74K | |
| 2019 | 3,295 | $123K | |
| 2020 | 2,910 | $115K | |
| 2021 | 3,475 | $103K | |
| 2022 | 2,691 | $58K | |
| 2023 | 1,737 | $43K | |
| 2024incomplete | 1,243 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 46% | 3,192 | 2,771 | $249K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 24% | 1,329 | 1,225 | $128K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 5,282 | 4,116 | $89K |
| 92370 | 7.9% | 6,487 | 5,614 | $43K | |
| 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 | 4.6% | 634 | 574 | $25K |
| 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% | 87 | 82 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 40 | 38 | $2K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 16 | 13 | $1K |
| 92341 | <1% | 41 | 40 | $923.04 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 14 | $414.00 |
| 92134 | <1% | 30 | 25 | $352.40 | |
| 92015 | Determination of refractive state | <1% | 74 | 69 | $331.77 |
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 officialTATE, ANDREW (CEO)
| Provider | Location | Paid |
|---|---|---|
| Graystone Ophthalmology Associates, PA | Hickory, NC | $2.82M |
| Graystone Ophthalmology Associates, PA | Lincolnton, NC | $464K |
| Graystone Ophthalmology Associates, PA | Boone, NC | $154K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.