Carolina Eye Associates INC
Carolina Eye Associates INC was paid $5.60M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 18% of everything it billed.
33Billing provider infoCAROLINA EYE ASSOCIATES INC
SOUTHERN PINES, NC 28387
SOUTHERN PINES, NC 28387
33aNPI1245211333assigned 11/07/2005
33bProvider typeOptometrist
28Total paid$5.60M
24GClaims114,988
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#2 of 636
Median peer was paid$41K
This provider vs. median137×
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 | 10,847 | $523K | |
| 2019 | 12,688 | $561K | |
| 2020 | 8,887 | $424K | |
| 2021 | 16,499 | $790K | |
| 2022 | 20,853 | $810K | |
| 2023 | 21,505 | $1.00M | |
| 2024incomplete | 23,709 | $1.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 18% | 11,728 | 9,885 | $1.01M |
| J2778 | Injection, ranibizumab, 0.1 mg | 18% | 2,083 | 1,595 | $995K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 13% | 10,273 | 9,037 | $744K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 11% | 4,350 | 3,053 | $620K |
| 67028 | Intravitreal injection of a pharmacologic agent | 7.0% | 8,674 | 5,594 | $393K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 6.6% | 408 | 324 | $368K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.5% | 13,816 | 12,248 | $251K |
| 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 | 3.5% | 6,373 | 5,153 | $197K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 9,222 | 7,132 | $188K |
| 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 | 3.2% | 2,671 | 2,051 | $178K |
| 92134 | 2.7% | 11,857 | 8,926 | $150K | |
| 92370 | 2.0% | 17,939 | 15,604 | $113K |
20 more codes
| 92136 | <1% | 3,743 | $54K | |
| 67228 | <1% | 190 | $53K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 2,050 | $51K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,921 | $46K |
| J0178 | Injection, aflibercept, 1 mg | <1% | 73 | $42K |
| 92341 | <1% | 1,113 | $23K | |
| 68761 | <1% | 467 | $22K | |
| 92250 | <1% | 1,238 | $16K | |
| 92015 | Determination of refractive state | <1% | 1,575 | $15K |
| 92235 | <1% | 353 | $14K | |
| 92083 | <1% | 539 | $12K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 238 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 777 | $8K |
| 92133 | <1% | 366 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 99 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 152 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 275 | $4K |
| 92285 | <1% | 339 | $963.73 | |
| 92020 | <1% | 72 | $526.30 | |
| 67820 | <1% | 14 | $100.88 |
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 officialMCCASKILL, TJ (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Carolina Eye Associates INC | Albemarle, NC | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.