Morganton Eye Physicians, P.A.
Morganton Eye Physicians, P.A. was paid $256K by Medicaid between Feb 2018 and Oct 2024, across 3 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 100% of everything it billed.
SHELBY, NC 28150
Next to other Ambulatory Surgical Clinic/Center providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 113 | $9K | |
| 2019 | 159 | $18K | |
| 2020 | 186 | $32K | |
| 2021 | 121 | $34K | |
| 2022 | 312 | $53K | |
| 2023 | 207 | $53K | |
| 2024incomplete | 208 | $56K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 100% | 1,154 | 763 | $256K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 76 | 73 | $0.00 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 76 | 73 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Morganton Eye Physicians, P.A. | Morganton, NC | $560K |
| Morganton Eye Physicians, P.A. | Shelby, NC | $429K |
| Morganton Eye Physicians, P.A. | Forest City, NC | $349K |
| Morganton Eye Physicians, P.A. | Morganton, NC | $319K |
| Morganton Eye Physicians, P.A. | Morganton, NC | $230K |
| Morganton Eye Physicians, P.A. | Shelby, NC | $114K |
| Morganton Eye Physicians, P.A. | Forest City, NC | $98K |
| Morganton Eye Physicians, P.A. | Marion, NC | $37K |
| Morganton Eye Physicians, P.A. | Marion, NC | $17K |
| Morganton Eye Physicians, P.A. | Rutherford College, NC | $12K |
| Morganton Eye Physicians, P.A. | Shelby, NC | $9K |
| Morganton Eye Physicians, P.A. | Morganton, NC | $7K |
| Morganton Eye Physicians, P.A. | Rutherford College, NC | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.