Shelby Eye Centers, P.A.

Shelby Eye Centers, P.A. was paid $182K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 32% of everything it billed.

33Billing provider infoSHELBY EYE CENTERS, P.A.
SHELBY, NC 28150

33aNPI1285732453assigned 09/20/2006

33bProvider typeOphthalmology Physician

28Total paid$182K

24GClaims6,422

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in North Carolina

Rank by total paid#31 of 118

Median peer was paid$22K

This provider vs. median8.2×

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	1,311	$32K
2019	1,414	$37K
2020	967	$25K
2021	836	$21K
2022	576	$19K
2023	759	$24K
2024incomplete	559	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0621	Routine ophthalmological examination including refraction; established patient	32%	894	705	$58K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	2,467	1,871	$47K
S0620	Routine ophthalmological examination including refraction; new patient	18%	368	301	$33K
92370		9.9%	1,298	1,196	$18K
92340	Fitting of spectacles, except for aphakia; monofocal	8.4%	973	898	$15K
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	2.5%	148	82	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.4%	188	114	$3K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	39	37	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	19	14	$757.30
92250		<1%	15	13	$489.57
92341		<1%	13	13	$281.84

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 officialCLINE, NANCY (PHYSICIAN / VICE PRESIDENT)