Physician
North Carolina Eye Ear Nose & Throat PA
North Carolina Eye Ear Nose & Throat PA was paid $77K by Medicaid between Jan 2018 and Mar 2019, across 12 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 27% of everything it billed.
33Billing provider infoNORTH CAROLINA EYE EAR NOSE & THROAT PA
DURHAM, NC 27704
DURHAM, NC 27704
33aNPI1316070725assigned 03/14/2007
33bProvider typeOphthalmology Physician
28Total paid$77K
24GClaims1,734
24DCodes billed12
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#45 of 118
Median peer was paid$22K
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 | 1,447 | $64K | |
| 2019 | 287 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 27% | 279 | 270 | $20K |
| 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 | 22% | 223 | 219 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 300 | 285 | $13K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 9.7% | 74 | 73 | $7K |
| 92060 | 7.4% | 138 | 134 | $6K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.6% | 204 | 179 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.8% | 25 | 25 | $3K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 3.0% | 16 | 12 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.9% | 146 | 128 | $2K |
| 92083 | <1% | 24 | 24 | $703.59 | |
| 92133 | <1% | 14 | 14 | $272.86 | |
| 92015 | Determination of refractive state | <1% | 291 | 263 | $220.99 |
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 officialMYERS, MELISSA (PATIENT ACCOUNTING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Rainbow Support Services, LLC | Danville, VA | $1.59M |
| Negril, INC. | Danville, VA | $200K |
| North Carolina Eye Ear Nose & Throat PA | Durham, NC | $65K |
| North Carolina Eye Ear Nose & Throat PA | Durham, NC | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.