Benkusky, Stephen
Benkusky, Stephen was paid $160K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 58% of everything it billed.
33Billing provider infoBENKUSKY, STEPHEN
EDENTON, NC 27932
EDENTON, NC 27932
33aNPI1467405381assigned 05/19/2006
33bProvider typeOptometrist
28Total paid$160K
24GClaims9,221
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#175 of 636
Median peer was paid$41K
This provider vs. median3.9×
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 | 1,280 | $25K | |
| 2019 | 2,019 | $38K | |
| 2020 | 1,579 | $25K | |
| 2021 | 1,673 | $26K | |
| 2022 | 967 | $18K | |
| 2023 | 1,124 | $16K | |
| 2024incomplete | 579 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 58% | 1,295 | 1,194 | $93K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 3,351 | 1,550 | $31K |
| 92370 | 8.3% | 2,169 | 1,953 | $13K | |
| 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 | 6.6% | 161 | 121 | $11K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 6.4% | 117 | 111 | $10K |
| 92341 | <1% | 108 | 49 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 18 | 12 | $630.05 |
| 1036F | <1% | 700 | 605 | $4.10 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 407 | 345 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 865 | 759 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 30 | 24 | $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.