Morganton Eye Physicians, P.A.
Morganton Eye Physicians, P.A. was paid $560K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 60% of everything it billed.
MORGANTON, NC 28655
Next to other Optometrist providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,149 | $89K | |
| 2019 | 1,456 | $104K | |
| 2020 | 652 | $53K | |
| 2021 | 912 | $67K | |
| 2022 | 1,229 | $85K | |
| 2023 | 1,067 | $69K | |
| 2024incomplete | 1,575 | $93K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 60% | 4,331 | 3,774 | $336K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 34% | 2,081 | 1,795 | $193K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.7% | 475 | 464 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 286 | 214 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 110 | 100 | $7K |
| 92370 | <1% | 570 | 557 | $3K | |
| 92015 | Determination of refractive state | <1% | 162 | 119 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | 12 | $260.72 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 13 | 13 | $185.60 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Morganton Eye Physicians, P.A. | Shelby, NC | $429K |
| Morganton Eye Physicians, P.A. | Forest City, NC | $349K |
| Morganton Eye Physicians, P.A. | Morganton, NC | $319K |
| Morganton Eye Physicians, P.A. | Shelby, NC | $256K |
| Morganton Eye Physicians, P.A. | Morganton, NC | $230K |
| Morganton Eye Physicians, P.A. | Shelby, NC | $114K |
| Morganton Eye Physicians, P.A. | Forest City, NC | $98K |
| Morganton Eye Physicians, P.A. | Marion, NC | $37K |
| Morganton Eye Physicians, P.A. | Marion, NC | $17K |
| Morganton Eye Physicians, P.A. | Rutherford College, NC | $12K |
| Morganton Eye Physicians, P.A. | Shelby, NC | $9K |
| Morganton Eye Physicians, P.A. | Morganton, NC | $7K |
| Morganton Eye Physicians, P.A. | Rutherford College, NC | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.