Element Eye Care, O.D., PLLC
Element Eye Care, O.D., PLLC was paid $143K by Medicaid between Jan 2018 and May 2022, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
33Billing provider infoELEMENT EYE CARE, O.D., PLLC
MATTHEWS, NC 28105
MATTHEWS, NC 28105
33aNPI1306190137assigned 10/31/2012
33bProvider typeOptometrist
28Total paid$143K
24GClaims4,543
24DCodes billed7
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#186 of 636
Median peer was paid$41K
This provider vs. median3.5×
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 | 1,066 | $34K | |
| 2019 | 1,232 | $38K | |
| 2020 | 876 | $28K | |
| 2021 | 1,004 | $32K | |
| 2022 | 365 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 475 | 453 | $45K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 410 | 391 | $32K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 1,252 | 1,233 | $25K |
| 92015 | Determination of refractive state | 17% | 1,050 | 1,001 | $25K |
| 92370 | 6.4% | 1,253 | 1,233 | $9K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 2.6% | 63 | 43 | $4K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 2.1% | 40 | 31 | $3K |
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 officialZAWILINSKI, NICOLETTE (OPTOMETRIST)