Physician
Southeastern Eye Care, PA
Southeastern Eye Care, PA was paid $343K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 35% of everything it billed.
33Billing provider infoSOUTHEASTERN EYE CARE, PA
LUMBERTON, NC 28358
LUMBERTON, NC 28358
33aNPI1407843014assigned 09/29/2005
33bProvider typeOphthalmology Physician
28Total paid$343K
24GClaims27,744
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#24 of 118
Median peer was paid$22K
This provider vs. median15×
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 | 4,319 | $21K | |
| 2019 | 5,216 | $36K | |
| 2020 | 4,422 | $29K | |
| 2021 | 5,456 | $48K | |
| 2022 | 3,066 | $44K | |
| 2023 | 2,472 | $57K | |
| 2024incomplete | 2,793 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 35% | 1,618 | 1,379 | $120K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 29% | 1,048 | 943 | $98K |
| 92250 | 8.7% | 1,350 | 1,224 | $30K | |
| 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 | 8.2% | 485 | 360 | $28K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.6% | 1,342 | 1,165 | $19K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.4% | 744 | 727 | $19K |
| 92567 | 1.6% | 445 | 400 | $5K | |
| 92342 | 1.4% | 609 | 607 | $5K | |
| 92370 | 1.3% | 682 | 568 | $5K | |
| 92015 | Determination of refractive state | <1% | 850 | 724 | $3K |
| 92587 | <1% | 101 | 88 | $3K | |
| 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% | 12 | 12 | $1K |
28 more codes
| 67210 | <1% | 18 | $1K | |
| 92341 | <1% | 91 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | $1K |
| 67820 | <1% | 74 | $865.37 | |
| 92557 | <1% | 27 | $712.32 | |
| 92134 | <1% | 19 | $394.95 | |
| 92133 | <1% | 13 | $185.54 | |
| 92286 | <1% | 15 | $161.01 | |
| G8785 | Blood pressure reading not documented, reason not given | <1% | 2,528 | $87.45 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,844 | $87.41 |
| 1036F | <1% | 3,230 | $72.20 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 2,841 | $72.20 |
| 76514 | <1% | 13 | $20.00 | |
| 3284F | 0% | 28 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 125 | $0.00 |
| 3285F | 0% | 28 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 1,319 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 129 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 87 | $0.00 |
| 3072F | 0% | 58 | $0.00 | |
| 2023F | 0% | 25 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,317 | $0.00 |
| 2027F | 0% | 111 | $0.00 | |
| 2026F | 0% | 814 | $0.00 | |
| 2022F | 0% | 731 | $0.00 | |
| 2024F | 0% | 715 | $0.00 | |
| 4004F | 0% | 117 | $0.00 | |
| 5010F | 0% | 129 | $0.00 |
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 officialMOUSER, TIMOTHY (OPHTHALMOLOGIST)