Physician
WNC Ophthalmology, PLLC
WNC Ophthalmology, PLLC was paid $9K by Medicaid between Jan 2021 and Feb 2024, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 58% of everything it billed.
33Billing provider infoWNC OPHTHALMOLOGY, PLLC
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
33aNPI1649881145assigned 08/10/2020
33bProvider typeOphthalmology Physician
28Total paid$9K
24GClaims217
24DCodes billed4
24AFirst – last monthJan 2021 – Feb 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#69 of 118
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 | |
|---|---|---|---|
| 2021 | 49 | $2K | |
| 2022 | 63 | $3K | |
| 2023 | 83 | $3K | |
| 2024incomplete | 22 | $727.84 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 58% | 96 | 56 | $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 | 22% | 70 | 45 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 29 | 17 | $1K |
| 92015 | Determination of refractive state | 4.0% | 22 | 15 | $343.54 |
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 officialKARO, JASON (OWNER)