Academy Eye Center Optometry, PA
Academy Eye Center Optometry, PA was paid $249K by Medicaid between Jan 2018 and Jun 2024, across 16 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 46% of everything it billed.
33Billing provider infoACADEMY EYE CENTER OPTOMETRY, PA
ALBEMARLE, NC 28001
ALBEMARLE, NC 28001
33aNPI1235350547assigned 05/02/2007
33bProvider typeOptometrist
28Total paid$249K
24GClaims10,136
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#116 of 636
Median peer was paid$41K
This provider vs. median6.1×
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 | 555 | $15K | |
| 2019 | 825 | $28K | |
| 2020 | 294 | $12K | |
| 2021 | 2,716 | $87K | |
| 2022 | 2,827 | $61K | |
| 2023 | 2,172 | $44K | |
| 2024incomplete | 747 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 46% | 1,583 | 1,309 | $114K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 9.9% | 353 | 311 | $25K |
| 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 | 9.1% | 330 | 245 | $23K |
| 92250 | 7.0% | 3,252 | 2,633 | $17K | |
| 99327 | 6.1% | 617 | 458 | $15K | |
| 99336 | 5.5% | 1,011 | 805 | $14K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.5% | 601 | 566 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.1% | 155 | 142 | $10K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.9% | 134 | 110 | $7K |
| 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 | 2.4% | 125 | 86 | $6K |
| 92370 | 1.9% | 708 | 670 | $5K | |
| 92341 | <1% | 50 | 45 | $1K |
4 more codes
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 officialRAYNOR, DANFORD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Academy Eye Center Optometry, PA | Biscoe, NC | $723.36 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.