Piedmont Ophthalmology Clinic INC

Piedmont Ophthalmology Clinic INC was paid $20K by Medicaid between Jan 2018 and Feb 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoPIEDMONT OPHTHALMOLOGY CLINIC INC
JENSEN BEACH, FL 34957

33aNPI1245347327assigned 08/24/2006

33bProvider typeOphthalmology Physician

28Total paid$20K

24GClaims1,511

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Ophthalmology Physician providers in Florida

Rank by total paid#99 of 262

Median peer was paid$9K

This provider vs. median2.3×

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	710	$7K
2019	689	$11K
2020	112	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	76%	899	582	$15K
92015	Determination of refractive state	18%	502	355	$4K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	2.3%	24	12	$458.60
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.4%	45	36	$289.60
92133		<1%	21	14	$188.93
92136		<1%	20	12	$153.63

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 officialGAMMON, MELISSA (PRACTICE MANAGER)