Nova Eye Care Od PA
Nova Eye Care Od PA was paid $560K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 37% of everything it billed.
33Billing provider infoNOVA EYE CARE OD PA
ASHEBORO, NC 27203
ASHEBORO, NC 27203
33aNPI1609018019assigned 03/31/2009
33bProvider typeOptometrist
28Total paid$560K
24GClaims21,222
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#43 of 636
Median peer was paid$41K
This provider vs. median14×
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 | 2,919 | $103K | |
| 2019 | 3,560 | $107K | |
| 2020 | 3,102 | $111K | |
| 2021 | 2,471 | $45K | |
| 2022 | 2,657 | $55K | |
| 2023 | 3,740 | $76K | |
| 2024incomplete | 2,773 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 37% | 2,790 | 2,626 | $205K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 34% | 2,104 | 1,972 | $189K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 7,144 | 6,438 | $105K |
| 92370 | 7.4% | 8,121 | 7,258 | $41K | |
| 92015 | Determination of refractive state | <1% | 443 | 417 | $5K |
| 92341 | <1% | 416 | 357 | $5K | |
| 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% | 77 | 73 | $4K |
| 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% | 41 | 40 | $3K |
| 92250 | <1% | 72 | 69 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 14 | 13 | $397.55 |
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 officialKERNODLE, JAMES (OWNER/OD)