Edgewater Eyecare, INC
Edgewater Eyecare, INC was paid $256K by Medicaid between Jan 2018 and Sep 2020, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoEDGEWATER EYECARE, INC
BILOXI, MS 39531
BILOXI, MS 39531
33aNPI1538351101assigned 08/16/2007
33bProvider typeOptometrist
28Total paid$256K
24GClaims4,808
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#126 of 437
Median peer was paid$91K
This provider vs. median2.8×
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 | 2,052 | $114K | |
| 2019 | 1,820 | $97K | |
| 2020 | 936 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 41% | 1,144 | 1,087 | $105K |
| 92015 | Determination of refractive state | 30% | 1,724 | 1,621 | $77K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 353 | 337 | $38K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 1,398 | 1,322 | $28K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.6% | 67 | 58 | $4K |
| V2020 | Frames, purchases | 1.5% | 122 | 119 | $4K |
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 officialRAINS, CHRIS (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| WPM Pathology Laboratory Chartered | Salina, KS | $585K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.