Pec Optometry Group, P.A.
Pec Optometry Group, P.A. was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 42% of everything it billed.
33Billing provider infoPEC OPTOMETRY GROUP, P.A.
BENSON, NC 27504
BENSON, NC 27504
33aNPI1356529960assigned 02/06/2008
33bProvider typeOptometrist
28Total paid$2.40M
24GClaims65,354
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#7 of 636
Median peer was paid$41K
This provider vs. median59×
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 | 6,904 | $253K | |
| 2019 | 9,736 | $342K | |
| 2020 | 7,840 | $272K | |
| 2021 | 9,794 | $370K | |
| 2022 | 10,928 | $417K | |
| 2023 | 10,598 | $392K | |
| 2024incomplete | 9,554 | $352K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 42% | 12,849 | 11,628 | $1.00M |
| S0620 | Routine ophthalmological examination including refraction; new patient | 34% | 8,489 | 7,600 | $806K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 18,128 | 16,458 | $352K |
| 92370 | 6.1% | 20,966 | 19,036 | $147K | |
| 92341 | 2.3% | 2,584 | 2,489 | $56K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 711 | 621 | $22K |
| 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 | <1% | 124 | 113 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 370 | 358 | $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 | <1% | 42 | 42 | $4K |
| 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% | 15 | 13 | $973.55 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | 38 | $863.11 |
| 92250 | <1% | 27 | 27 | $441.09 |
3 more codes
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 officialRAYNOR, ROY (OWNER/OPTOMETRIST)