Five Forks Vision, LLC
Five Forks Vision, LLC was paid $9K by Medicaid between Jan 2020 and Jan 2023, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 63% of everything it billed.
33Billing provider infoFIVE FORKS VISION, LLC
SIMPSONVILLE, SC 29681
SIMPSONVILLE, SC 29681
33aNPI1609343227assigned 11/01/2018
33bProvider typeOptometrist
28Total paid$9K
24GClaims355
24DCodes billed3
24AFirst – last monthJan 2020 – Jan 2023
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#262 of 425
Median peer was paid$22K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 40 | $496.16 | |
| 2021 | 31 | $308.29 | |
| 2022 | 257 | $7K | |
| 2023 | 27 | $1K |
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 | 63% | 79 | 79 | $5K |
| 92015 | Determination of refractive state | 27% | 232 | 225 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 44 | 44 | $869.25 |
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 officialJOHNSON, GORDON (OPTOMETRIST / OWNER)
| Provider | Location | Paid |
|---|---|---|
| Blue Ridge Vision Associates. PA | Greer, SC | $213K |
| Neighbor to Family, INC | Daytona Beach, FL | $154K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.