Clemson Eye, PA
Clemson Eye, PA was paid $5.54M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 20% of everything it billed.
33Billing provider infoCLEMSON EYE, PA
GREENVILLE, SC 29615
GREENVILLE, SC 29615
33aNPI1447383831assigned 03/14/2007
33bProvider typeOptometrist
28Total paid$5.54M
24GClaims100,063
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#1 of 425
Median peer was paid$22K
This provider vs. median254×
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 | 3,826 | $222K | |
| 2019 | 6,085 | $326K | |
| 2020 | 7,470 | $445K | |
| 2021 | 12,341 | $704K | |
| 2022 | 18,870 | $1.09M | |
| 2023 | 24,782 | $1.40M | |
| 2024incomplete | 26,689 | $1.35M |
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 | 20% | 12,468 | 12,245 | $1.09M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 13,020 | 12,398 | $958K |
| 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 | 13% | 5,990 | 5,373 | $721K |
| J0178 | Injection, aflibercept, 1 mg | 10% | 677 | 596 | $565K |
| 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 | 8.9% | 6,308 | 5,760 | $493K |
| 92015 | Determination of refractive state | 7.1% | 33,402 | 32,606 | $393K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 4.8% | 2,445 | 1,834 | $265K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 5,329 | 4,813 | $251K |
| 92060 | 2.9% | 3,204 | 2,916 | $162K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.5% | 2,669 | 2,201 | $137K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.4% | 2,552 | 2,291 | $134K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 2,543 | 2,505 | $59K |
17 more codes
| V2020 | Frames, purchases | <1% | 1,156 | $48K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,148 | $45K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 1,133 | $44K |
| 92134 | <1% | 2,425 | $43K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 592 | $32K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | <1% | 24 | $24K |
| 92136 | <1% | 950 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 382 | $14K |
| 67311 | <1% | 12 | $14K | |
| 92083 | <1% | 371 | $10K | |
| 92250 | <1% | 287 | $7K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 568 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 46 | $4K |
| 92133 | <1% | 203 | $3K | |
| 92020 | <1% | 56 | $687.48 | |
| 76514 | <1% | 91 | $557.86 | |
| 83861 | <1% | 12 | $70.12 |
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 officialBECKER, KEVIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Surgicare Center LLC | Fort Myers, FL | $541K |
| Florence Surgery & Laser Center LLC | Florence, SC | $439K |
| West Georgia Eye Care Center,p.A. | Columbus, GA | $325K |
| Greenville Surgery Center LP | Greenville, SC | $168K |
| Eye Associates of Manatee, LLP | Bradenton, FL | $145K |
| Surgery & Laser Center at Professional Park LLC | Clinton, SC | $50K |
| Eye Associates of Manatee LLP | Bradenton, FL | $5K |
| Eha Surgery Center Sarasota | Sarasota, FL | $5K |
| Southeast Retina Center PC | Augusta, GA | $383.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.