Western NC Optometric Group PA
Western NC Optometric Group PA was paid $83K by Medicaid between Jan 2018 and Jul 2021, across 4 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 47% of everything it billed.
33Billing provider infoWESTERN NC OPTOMETRIC GROUP PA
ASHEVILLE, NC 28805
ASHEVILLE, NC 28805
33aNPI1437212057assigned 12/18/2006
33bProvider typeOptometrist
28Total paid$83K
24GClaims3,661
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#245 of 636
Median peer was paid$41K
This provider vs. median2.0×
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 | 808 | $22K | |
| 2019 | 1,328 | $40K | |
| 2020 | 820 | $14K | |
| 2021 | 705 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 47% | 683 | 521 | $39K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 25% | 1,310 | 1,020 | $21K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 18% | 191 | 160 | $15K |
| 92370 | 9.4% | 1,477 | 1,155 | $8K |
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 officialNEWTON, VICTOR (OWNER)