Optometric Eye Site PLLC
Optometric Eye Site PLLC was paid $463K by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 26% of everything it billed.
33Billing provider infoOPTOMETRIC EYE SITE PLLC
HENDERSON, NC 27536
HENDERSON, NC 27536
33aNPI1437337136assigned 02/05/2008
33bProvider typeOptometrist
28Total paid$463K
24GClaims11,590
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#53 of 636
Median peer was paid$41K
This provider vs. median11×
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 | 2,581 | $105K | |
| 2019 | 3,571 | $121K | |
| 2020 | 2,114 | $78K | |
| 2021 | 1,826 | $65K | |
| 2022 | 626 | $31K | |
| 2023 | 483 | $34K | |
| 2024incomplete | 389 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26% | 1,355 | 1,346 | $120K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 1,580 | 1,544 | $115K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 2,793 | 2,536 | $50K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 11% | 492 | 445 | $49K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 9.4% | 554 | 402 | $43K |
| 92083 | 6.8% | 799 | 747 | $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 | 5.6% | 729 | 644 | $26K |
| 92370 | 4.4% | 2,750 | 2,490 | $21K | |
| 92020 | 1.2% | 446 | 437 | $6K | |
| 92250 | <1% | 62 | 61 | $2K | |
| 92015 | Determination of refractive state | 0% | 30 | 13 | $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 officialCOWARD, DAVID (PRESIDENT)