Franklin, Crystal
Franklin, Crystal was paid $445K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoFRANKLIN, CRYSTAL
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
33aNPI1518150374assigned 08/23/2007
33bProvider typeOptometrist
28Total paid$445K
24GClaims12,054
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#24 of 425
Median peer was paid$22K
This provider vs. median20×
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 | 2,014 | $76K | |
| 2019 | 1,837 | $71K | |
| 2020 | 1,500 | $53K | |
| 2021 | 1,746 | $65K | |
| 2022 | 1,711 | $61K | |
| 2023 | 1,804 | $66K | |
| 2024incomplete | 1,442 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 2,970 | 2,871 | $186K |
| 92250 | 19% | 2,598 | 2,563 | $84K | |
| 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 | 17% | 837 | 822 | $78K |
| 92015 | Determination of refractive state | 10% | 3,027 | 2,986 | $46K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.5% | 2,473 | 2,434 | $42K |
| 92275 | 1.4% | 78 | 76 | $6K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 28 | 27 | $2K |
| 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% | 31 | 30 | $1K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | 12 | $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.