Physician
Horizon Eye Care, PA
Horizon Eye Care, PA was paid $4.94M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 18% of everything it billed.
33Billing provider infoHORIZON EYE CARE, PA
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
33aNPI1235192113assigned 04/11/2006
33bProvider typeOphthalmology Physician
28Total paid$4.94M
24GClaims127,208
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#3 of 118
Median peer was paid$22K
This provider vs. median222×
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 | 17,329 | $699K | |
| 2019 | 18,501 | $723K | |
| 2020 | 15,421 | $637K | |
| 2021 | 21,858 | $771K | |
| 2022 | 19,626 | $761K | |
| 2023 | 17,860 | $705K | |
| 2024incomplete | 16,613 | $645K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 18% | 11,027 | 9,926 | $874K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 13,543 | 11,799 | $862K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 8,315 | 7,309 | $786K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 8.9% | 4,639 | 4,214 | $440K |
| 92060 | 8.3% | 10,750 | 9,415 | $412K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.2% | 23,659 | 20,714 | $404K |
| 92015 | Determination of refractive state | 3.6% | 9,307 | 7,457 | $177K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 3,722 | 3,038 | $175K |
| 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 | 3.4% | 3,282 | 2,740 | $168K |
| 92370 | 3.0% | 23,581 | 21,131 | $149K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.0% | 2,841 | 2,429 | $147K |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.0% | 1,714 | 1,144 | $101K |
16 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 612 | $68K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.2% | 1,134 | $59K |
| 92134 | <1% | 4,088 | $49K | |
| 99254 | <1% | 400 | $47K | |
| 99223 | Prolong inpt eval add15 m | <1% | 74 | $11K |
| 92201 | <1% | 2,673 | $3K | |
| 92083 | <1% | 131 | $3K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 46 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 24 | $2K |
| 92133 | <1% | 72 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $1K |
| 92226 | <1% | 511 | $188.28 | |
| 92225 | <1% | 93 | $88.83 | |
| V2020 | Frames, purchases | <1% | 285 | $19.49 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 456 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 214 | $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 officialHARMON, VICKY (MANAGED CARE/CREDENTIALING COORD)