Macmillan Optical, INC

Macmillan Optical, INC was paid $223K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 51% of everything it billed.

33Billing provider infoMACMILLAN OPTICAL, INC
CLINTON, SC 29325

33aNPI1588615488assigned 05/15/2006

33bProvider typePreferred Provider Organization

28Total paid$223K

24GClaims6,911

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Preferred Provider Organization providers in South Carolina

Rank by total paid#5 of 7

Median peer was paid$452K

This provider vs. median0.5×

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	1,917	$67K
2019	1,740	$61K
2020	1,008	$34K
2021	480	$13K
2022	758	$22K
2023	696	$18K
2024incomplete	312	$9K

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	51%	1,560	1,540	$114K
92015	Determination of refractive state	23%	2,801	2,781	$52K
92340	Fitting of spectacles, except for aphakia; monofocal	18%	2,378	2,363	$41K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	7.0%	172	171	$16K

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 officialMACMILLAN, THOMAS (OWNER)