Bergelt Optometric LLC
Bergelt Optometric LLC was paid $4.16M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 46% of everything it billed.
33Billing provider infoBERGELT OPTOMETRIC LLC
FLORENCE, SC 29501
FLORENCE, SC 29501
33aNPI1386002467assigned 02/04/2016
33bProvider typeOptometrist
28Total paid$4.16M
24GClaims114,571
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#2 of 425
Median peer was paid$22K
This provider vs. median191×
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 | 10,576 | $370K | |
| 2019 | 13,792 | $494K | |
| 2020 | 9,991 | $359K | |
| 2021 | 12,201 | $449K | |
| 2022 | 14,517 | $524K | |
| 2023 | 25,320 | $952K | |
| 2024incomplete | 28,174 | $1.02M |
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 | 46% | 22,090 | 22,025 | $1.91M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 13,836 | 13,800 | $955K |
| 92015 | Determination of refractive state | 13% | 40,615 | 40,476 | $527K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 27,406 | 27,264 | $493K |
| V2020 | Frames, purchases | 1.7% | 3,643 | 3,635 | $72K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.6% | 1,385 | 1,385 | $68K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.5% | 1,772 | 1,758 | $63K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 2,339 | 2,334 | $40K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 549 | 547 | $11K |
| 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% | 172 | 165 | $8K |
| 92002 | <1% | 155 | 155 | $7K | |
| 92250 | <1% | 231 | 230 | $7K |
4 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 officialBERGELT, SOLITA (OPTOMETRIST/OWNER)