Eyecarecenter Od PA
Eyecarecenter Od PA was paid $225K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 55% of everything it billed.
LUMBERTON, NC 28358
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 | 2,050 | $57K | |
| 2019 | 2,561 | $79K | |
| 2020 | 1,433 | $42K | |
| 2021 | 705 | $22K | |
| 2022 | 279 | $7K | |
| 2023 | 509 | $13K | |
| 2024incomplete | 224 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 55% | 1,700 | 1,459 | $123K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 2,646 | 2,274 | $42K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 17% | 549 | 356 | $38K |
| 92370 | 6.6% | 2,399 | 2,091 | $15K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 394 | 229 | $6K |
| 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% | 26 | 12 | $780.58 |
| 92341 | <1% | 47 | 47 | $705.10 |
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 |
|---|---|---|
| Eyecarecenter Od PA | Smithfield, NC | $457K |
| Eyecarecenter Od PA | Roanoke Rapids, NC | $446K |
| Eyecarecenter Od PA | Rocky Mount, NC | $322K |
| Eyecarecenter Od PA | Kernersville, NC | $307K |
| Eyecarecenter Od PA | Wilson, NC | $217K |
| Eyecarecenter Od PA | Sanford, NC | $198K |
| Eyecarecenter Od PA | High Point, NC | $194K |
| Eyecarecenter Od PA | Elizabeth City, NC | $193K |
| Eyecarecenter Od PA | Winston Salem, NC | $189K |
| Eyecarecenter Od PA | Jacksonville, NC | $186K |
| Eyecarecenter Od PA | Raleigh, NC | $178K |
| Eyecarecenter Od PA | Durham, NC | $174K |
| Eyecarecenter Od PA | Winston Salem, NC | $169K |
| Eyecarecenter Od PA | Fayetteville, NC | $166K |
| Eyecarecenter Od PA | North Wilkesboro, NC | $163K |
| Eyecarecenter Od PA | Winston Salem, NC | $141K |
| Eyecarecenter Od PA | Jacksonville, NC | $124K |
| Eyecarecenter Od PA | Dobson, NC | $105K |
| Eyecarecenter Od PA | Walkertown, NC | $89K |
| Eyecarecenter Od PA | King, NC | $85K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.