Supplier
Gaston Eye Associates
Gaston Eye Associates was paid $2.02M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 38% of everything it billed.
33Billing provider infoGASTON EYE ASSOCIATES
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1417945775assigned 10/11/2005
33bProvider typeEyewear Supplier
28Total paid$2.02M
24GClaims52,839
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in North Carolina
Rank by total paid#2 of 18
Median peer was paid$9K
This provider vs. median226×
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 | 5,060 | $211K | |
| 2019 | 7,616 | $298K | |
| 2020 | 6,635 | $263K | |
| 2021 | 10,454 | $413K | |
| 2022 | 10,051 | $416K | |
| 2023 | 7,555 | $259K | |
| 2024incomplete | 5,468 | $165K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 38% | 10,439 | 8,575 | $764K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 35% | 8,041 | 6,475 | $709K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 12,773 | 12,161 | $230K |
| 92370 | 5.2% | 15,988 | 15,215 | $105K | |
| 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 | 4.5% | 2,259 | 1,803 | $90K |
| 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 | 2.4% | 622 | 520 | $49K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 1,172 | 916 | $39K |
| 92341 | <1% | 981 | 889 | $17K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 96 | 41 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 320 | 205 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 78 | 72 | $5K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 50 | 37 | $2K |
1 more codes
| 92136 | <1% | 20 | $184.20 |
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 officialMCCULLEN, BOB (MANAGING PARTNER)