Lavelle, Miriam
Lavelle, Miriam was paid $41K by Medicaid between Jan 2018 and May 2022, across 6 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 49% of everything it billed.
33Billing provider infoLAVELLE, MIRIAM
ROXBORO, NC 27573
ROXBORO, NC 27573
33aNPI1275533960assigned 07/26/2005
33bProvider typeOptometrist
28Total paid$41K
24GClaims1,694
24DCodes billed6
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#318 of 636
Median peer was paid$41K
This provider vs. median1.0×
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 | 516 | $14K | |
| 2019 | 815 | $17K | |
| 2020 | 276 | $9K | |
| 2021 | 47 | $270.72 | |
| 2022 | 40 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 49% | 279 | 257 | $20K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 25% | 518 | 505 | $10K |
| 92370 | 13% | 761 | 733 | $5K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 6.8% | 32 | 30 | $3K |
| 92341 | 4.6% | 89 | 88 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.7% | 15 | 15 | $681.50 |
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.