East Carolina Optometric Care, PA
East Carolina Optometric Care, PA was paid $63K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 64% of everything it billed.
33Billing provider infoEAST CAROLINA OPTOMETRIC CARE, PA
WHITEVILLE, NC 28472
WHITEVILLE, NC 28472
33aNPI1558543884assigned 11/28/2007
33bProvider typeOptometrist
28Total paid$63K
24GClaims4,539
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#274 of 636
Median peer was paid$41K
This provider vs. median1.5×
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 | 684 | $29K | |
| 2019 | 2,802 | $0.00 | |
| 2021 | 194 | $0.00 | |
| 2022 | 14 | $0.00 | |
| 2023 | 262 | $9K | |
| 2024incomplete | 583 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 64% | 900 | 762 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 431 | 343 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 103 | 91 | $6K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 6.1% | 323 | 242 | $4K |
| 92133 | 2.3% | 68 | 64 | $1K | |
| 92083 | 1.5% | 30 | 25 | $952.85 | |
| 92250 | <1% | 108 | 91 | $524.49 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 35 | 34 | $436.48 |
| 92370 | <1% | 37 | 36 | $157.30 | |
| 76514 | <1% | 15 | 14 | $87.61 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 609 | 487 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 29 | 27 | $0.00 |
8 more codes
| 68761 | 0% | 19 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 61 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 22 | $0.00 |
| 92015 | Determination of refractive state | 0% | 18 | $0.00 |
| 92283 | 0% | 568 | $0.00 | |
| 1036F | 0% | 583 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 537 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 43 | $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 officialJACKSON, TIFFANY (DOCTOR/OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Be Kind Health Care, LLC | Saint Louis, MO | $4.35M |
| Caring Hearts CDS, INC. | Saint Louis, MO | $1.70M |
| Kids First Pediatric & Adult Medicine, LLC | Hazlehurst, MS | $1.23M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.