Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Edwards, Matthew

Edwards, Matthew was paid $109K by Medicaid between Jul 2021 and Dec 2024, across 10 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 38% of everything it billed.

33Billing provider infoEDWARDS, MATTHEW
AHOSKIE, NC 27910
33aNPI1457787756assigned 09/18/2013
33bProvider typeOptometrist
28Total paid$109K
24GClaims2,050
24DCodes billed10
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers

Next to other Optometrist providers in North Carolina

Rank by total paid#217 of 636
Median peer was paid$41K
This provider vs. median2.7×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2021377$17K
2022516$23K
2023532$24K
2024incomplete625$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 38% 538 488 $41K
S0620 Routine ophthalmological examination including refraction; new patient 21% 235 232 $23K
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 17% 251 243 $18K
92340 Fitting of spectacles, except for aphakia; monofocal 7.3% 400 398 $8K
92250 5.7% 121 115 $6K
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 2.9% 29 29 $3K
92370 2.5% 437 433 $3K
93892 2.2% 13 12 $2K
93886 1.9% 13 12 $2K
93890 1.7% 13 12 $2K

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.