Bergelt, Solita
Bergelt, Solita was paid $181K by Medicaid between Feb 2018 and Oct 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.
33Billing provider infoBERGELT, SOLITA
FLORENCE, SC 29501
FLORENCE, SC 29501
33aNPI1487061925assigned 07/16/2014
33bProvider typeOptometrist
28Total paid$181K
24GClaims6,490
24DCodes billed9
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#80 of 425
Median peer was paid$22K
This provider vs. median8.3×
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 | 1,355 | $31K | |
| 2019 | 490 | $16K | |
| 2020 | 255 | $9K | |
| 2021 | 448 | $14K | |
| 2022 | 827 | $29K | |
| 2023 | 1,683 | $42K | |
| 2024incomplete | 1,432 | $40K |
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 | 56% | 1,611 | 1,611 | $102K |
| 92015 | Determination of refractive state | 15% | 2,427 | 2,427 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 378 | 378 | $22K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.8% | 550 | 545 | $11K |
| V2020 | Frames, purchases | 5.0% | 550 | 545 | $9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.9% | 372 | 368 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.8% | 548 | 543 | $3K |
| V2199 | Not otherwise classified, single vision lens | <1% | 12 | 12 | $636.00 |
| 3072F | <1% | 42 | 42 | $420.00 |
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.