Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mid-Atlantic Eye Physicians, PA

Mid-Atlantic Eye Physicians, PA was paid $367K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoMID-ATLANTIC EYE PHYSICIANS, PA
ROANOKE RAPIDS, NC 27870
33aNPI1215984331assigned 05/27/2006
33bProvider typeOphthalmology Physician
28Total paid$367K
24GClaims16,151
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in North Carolina

Rank by total paid#22 of 118
Median peer was paid$22K
This provider vs. median16×

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
20183,344$54K
20193,789$75K
20201,231$37K
20211,673$41K
20222,389$53K
20232,114$54K
2024incomplete1,611$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 26% 2,322 2,079 $94K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13% 2,121 1,838 $47K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 1,647 1,383 $45K
92083 10% 1,722 1,533 $38K
92015 Determination of refractive state 8.7% 2,754 2,010 $32K
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 8.6% 472 416 $32K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 6.5% 260 206 $24K
92133 4.5% 1,020 901 $16K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.8% 775 666 $10K
92136 2.4% 592 533 $9K
S0621 Routine ophthalmological examination including refraction; established patient 1.4% 65 64 $5K
92225 1.1% 599 301 $4K
10 more codes
92370 1.0% 587 $4K
S0620 Routine ophthalmological examination including refraction; new patient <1% 27 $2K
92134 <1% 175 $1K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 125 $1K
92341 <1% 82 $736.81
99443 <1% 35 $718.34
92202 <1% 102 $617.70
99441 <1% 14 $152.80
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 31 $96.16
3284F 0% 624 $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 officialCRICHLOW, BRIAN (PRESIDENT)