Winesett, Marvin
Winesett, Marvin was paid $155K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 60% of everything it billed.
33Billing provider infoWINESETT, MARVIN
HUDSON, NC 28638
HUDSON, NC 28638
33aNPI1629036991assigned 05/03/2006
33bProvider typeOptometrist
28Total paid$155K
24GClaims3,356
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#179 of 636
Median peer was paid$41K
This provider vs. median3.8×
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 | 208 | $16K | |
| 2019 | 465 | $21K | |
| 2020 | 366 | $19K | |
| 2021 | 422 | $19K | |
| 2022 | 314 | $15K | |
| 2023 | 842 | $40K | |
| 2024incomplete | 739 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 60% | 1,274 | 1,113 | $93K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 23% | 391 | 325 | $36K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 1,187 | 1,166 | $18K |
| 92370 | 1.8% | 378 | 376 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.4% | 69 | 54 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.2% | 30 | 26 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | 12 | $1K |
| 92341 | <1% | 15 | 15 | $306.30 |
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.