Duplin Eye Associates PA
Duplin Eye Associates PA was paid $894K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 47% of everything it billed.
33Billing provider infoDUPLIN EYE ASSOCIATES PA
KENANSVILLE, NC 28349
KENANSVILLE, NC 28349
33aNPI1508845587assigned 01/10/2006
33bProvider typeOptometrist
28Total paid$894K
24GClaims25,045
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#27 of 636
Median peer was paid$41K
This provider vs. median22×
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 | 3,072 | $105K | |
| 2019 | 4,875 | $149K | |
| 2020 | 2,517 | $86K | |
| 2021 | 3,713 | $150K | |
| 2022 | 3,390 | $132K | |
| 2023 | 3,479 | $123K | |
| 2024incomplete | 3,999 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 47% | 5,235 | 4,802 | $418K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 29% | 2,673 | 2,466 | $257K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 6,427 | 6,342 | $121K |
| 92370 | 5.7% | 7,752 | 7,627 | $51K | |
| 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 | 2.0% | 662 | 620 | $18K |
| 92341 | 1.7% | 671 | 652 | $15K | |
| 92250 | <1% | 326 | 270 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 127 | 90 | $3K |
| 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 | <1% | 39 | 37 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 33 | 29 | $1K |
| 92015 | Determination of refractive state | <1% | 69 | 63 | $1K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 192 | 188 | $0.00 |
4 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 297 | $0.00 |
| 4004F | 0% | 14 | $0.00 | |
| 1036F | 0% | 350 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 178 | $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 officialTERRY, GAIL (ADMINISTRATOR)