Samuel D Johnson Od PLLC
Samuel D Johnson Od PLLC was paid $249K by Medicaid between Mar 2019 and Dec 2024, across 10 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 36% of everything it billed.
33Billing provider infoSAMUEL D JOHNSON OD PLLC
FAIRMONT, NC 28340
FAIRMONT, NC 28340
33aNPI1417446097assigned 05/09/2018
33bProvider typeOptometrist
28Total paid$249K
24GClaims7,992
24DCodes billed10
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#115 of 636
Median peer was paid$41K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2019 | 520 | $15K | |
| 2020 | 443 | $14K | |
| 2021 | 1,248 | $33K | |
| 2022 | 1,529 | $44K | |
| 2023 | 1,952 | $66K | |
| 2024incomplete | 2,300 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 36% | 1,217 | 1,050 | $91K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 35% | 991 | 842 | $88K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 2,066 | 1,564 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 705 | 490 | $20K |
| 92370 | 5.8% | 2,585 | 1,992 | $15K | |
| 92341 | <1% | 118 | 106 | $2K | |
| 92250 | <1% | 122 | 79 | $2K | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 48 | 41 | $0.00 |
| 1036F | 0% | 36 | 29 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 104 | 85 | $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 officialJOHNSON, SAMEUL (OWNER)