Eye Care of Edenton, O.D., PLLC
Eye Care of Edenton, O.D., PLLC was paid $8K by Medicaid between Jan 2018 and Aug 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.
33Billing provider infoEYE CARE OF EDENTON, O.D., PLLC
EDENTON, NC 27932
EDENTON, NC 27932
33aNPI1215156401assigned 04/25/2007
33bProvider typeOptometrist
28Total paid$8K
24GClaims2,698
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#458 of 636
Median peer was paid$41K
This provider vs. median0.2×
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 | 722 | $1K | |
| 2019 | 637 | $524.56 | |
| 2020 | 299 | $415.73 | |
| 2021 | 569 | $2K | |
| 2022 | 152 | $1K | |
| 2023 | 114 | $428.68 | |
| 2024incomplete | 205 | $991.27 |
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 | 43% | 319 | 239 | $3K |
| 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 | 20% | 36 | 12 | $1K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 17% | 21 | 13 | $1K |
| 92250 | 16% | 151 | 80 | $1K | |
| 92370 | 4.6% | 82 | 57 | $347.55 | |
| 1036F | 0% | 666 | 564 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 292 | 232 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 794 | 686 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 86 | 69 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 251 | 246 | $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 officialBENKUSKY, STEPHEN (OWNER)