Coastal Eye Clinic, PA
Coastal Eye Clinic, PA was paid $83K by Medicaid between Mar 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCOASTAL EYE CLINIC, PA
NEW BERN, NC 28562
NEW BERN, NC 28562
33aNPI1255355814assigned 07/27/2006
33bProvider typeOptometrist
28Total paid$83K
24GClaims2,516
24DCodes billed9
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#246 of 636
Median peer was paid$41K
This provider vs. median2.0×
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 | 246 | $3K | |
| 2019 | 493 | $16K | |
| 2020 | 329 | $14K | |
| 2021 | 375 | $17K | |
| 2022 | 401 | $13K | |
| 2023 | 501 | $15K | |
| 2024incomplete | 171 | $6K |
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 | 33% | 921 | 752 | $28K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 19% | 177 | 156 | $16K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 15% | 162 | 154 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 384 | 326 | $12K |
| 92250 | 6.0% | 247 | 192 | $5K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.4% | 428 | 405 | $4K |
| 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 | 4.0% | 83 | 69 | $3K |
| 92015 | Determination of refractive state | 1.4% | 77 | 66 | $1K |
| 92133 | 1.0% | 37 | 36 | $848.30 |
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 officialCHANCE, JAMES (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| PF LW Alf Ops, LLC | Dallas, TX | $2.41M |
| Coastal Eye Clinic, PA | New Bern, NC | $8K |
| Coastal Eye Clinic, PA | Morehead City, NC | $80.95 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.