Appalachian Eye Associates Odpa
Appalachian Eye Associates Odpa was paid $80K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 53% of everything it billed.
33Billing provider infoAPPALACHIAN EYE ASSOCIATES ODPA
SPRUCE PINE, NC 28777
SPRUCE PINE, NC 28777
33aNPI1538241518assigned 10/19/2006
33bProvider typeOptometrist
28Total paid$80K
24GClaims4,007
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#251 of 636
Median peer was paid$41K
This provider vs. median2.0×
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 | 329 | $8K | |
| 2019 | 948 | $16K | |
| 2020 | 516 | $11K | |
| 2021 | 634 | $10K | |
| 2022 | 706 | $16K | |
| 2023 | 506 | $11K | |
| 2024incomplete | 368 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 53% | 571 | 484 | $42K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 26% | 1,150 | 1,022 | $21K |
| 92370 | 17% | 1,981 | 1,786 | $14K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.5% | 13 | 12 | $1K |
| 92015 | Determination of refractive state | 1.2% | 72 | 65 | $967.18 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 31 | 24 | $619.23 |
| 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% | 14 | 13 | $361.26 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 69 | 61 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 106 | 97 | $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 officialWALKER, MARVIN (PRESIDENT)