Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Laurens › NPI 1578875134
NPI deactivated

Donaldson, Bernadine

Donaldson, Bernadine was paid $59K by Medicaid between Nov 2019 and Nov 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.

33Billing provider infoDONALDSON, BERNADINE
LAURENS, SC 29360
33aNPI1578875134assigned 07/11/2010
33bProvider typeOptometrist
28Total paid$59K
24GClaims2,229
24DCodes billed5
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers

Next to other Optometrist providers in South Carolina

Rank by total paid#154 of 425
Median peer was paid$22K
This provider vs. median2.7×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201948$969.37
2020227$5K
2021426$11K
2022559$15K
2023626$18K
2024incomplete343$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 53% 544 538 $31K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 22% 228 224 $13K
92015 Determination of refractive state 14% 1,229 1,216 $8K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 6.1% 65 63 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 5.5% 163 163 $3K

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.