Physician
Cape Fear Cataract and Cornea, P.A.
Cape Fear Cataract and Cornea, P.A. was paid $14K by Medicaid between Jan 2019 and Jan 2024, across 5 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 55% of everything it billed.
33Billing provider infoCAPE FEAR CATARACT AND CORNEA, P.A.
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1518437011assigned 11/28/2018
33bProvider typeOphthalmology Physician
28Total paid$14K
24GClaims807
24DCodes billed5
24AFirst – last monthJan 2019 – Jan 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#66 of 118
Median peer was paid$22K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2019 | 417 | $5K | |
| 2020 | 220 | $8K | |
| 2021 | 80 | $894.39 | |
| 2022 | 45 | $293.23 | |
| 2023 | 24 | $176.41 | |
| 2024incomplete | 21 | $169.19 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 55% | 99 | 39 | $8K |
| 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 | 25% | 209 | 102 | $4K |
| 92136 | 7.8% | 211 | 65 | $1K | |
| 92025 | 7.4% | 210 | 103 | $1K | |
| 92015 | Determination of refractive state | 4.1% | 78 | 36 | $574.53 |
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 officialGROAT, BRIAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Live Oak Ophthalmology, PC | Wilmington, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.