Summerville Primary Eyecare LLC
Summerville Primary Eyecare LLC was paid $10K by Medicaid between Jun 2021 and Dec 2022, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 78% of everything it billed.
33Billing provider infoSUMMERVILLE PRIMARY EYECARE LLC
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1396276630assigned 03/27/2017
33bProvider typeOptometrist
28Total paid$10K
24GClaims410
24DCodes billed3
24AFirst – last monthJun 2021 – Dec 2022
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#250 of 425
Median peer was paid$22K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 99 | $2K | |
| 2022 | 311 | $9K |
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 | 78% | 129 | 129 | $8K |
| 92015 | Determination of refractive state | 13% | 266 | 266 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.1% | 15 | 15 | $952.50 |
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 officialMCCARTNEY, KELLI (LLC MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Summerville Pediatric Eyecare PC | Summerville, SC | $242K |
| Remote Optometric Services LLC | Manning, SC | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.