Covenant Eye Care, PA

Covenant Eye Care, PA was paid $32K by Medicaid between Jan 2018 and Mar 2021, across 12 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 31% of everything it billed.

33Billing provider infoCOVENANT EYE CARE, PA
GASTONIA, NC 28054

33aNPI1477518066assigned 04/18/2006

33bProvider typeOphthalmology Physician

28Total paid$32K

24GClaims5,098

24DCodes billed12

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Ophthalmology Physician providers in North Carolina

Rank by total paid#54 of 118

Median peer was paid$22K

This provider vs. median1.5×

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	1,780	$7K
2019	2,591	$7K
2020	573	$13K
2021	154	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0621	Routine ophthalmological examination including refraction; established patient	31%	150	131	$10K
S0620	Routine ophthalmological examination including refraction; new patient	27%	145	92	$9K
92370		24%	517	432	$8K
92340	Fitting of spectacles, except for aphakia; monofocal	14%	292	238	$5K
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	2.6%	36	18	$851.73
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	14	12	$338.35
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	1,061	597	$0.00
1036F		0%	1,283	707	$0.00
G8756	No documentation of blood pressure measurement, reason not given	0%	29	13	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	144	81	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,398	733	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	29	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 officialALLF, BRYAN (PRESIDENT)