Physician
Davidson Eye Associates PA
Davidson Eye Associates PA was paid $579K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 46% of everything it billed.
33Billing provider infoDAVIDSON EYE ASSOCIATES PA
LEXINGTON, NC 27292
LEXINGTON, NC 27292
33aNPI1669489225assigned 08/03/2006
33bProvider typeOphthalmology Physician
28Total paid$579K
24GClaims19,946
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#16 of 118
Median peer was paid$22K
This provider vs. median26×
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 | 2,470 | $80K | |
| 2019 | 3,020 | $95K | |
| 2020 | 2,328 | $77K | |
| 2021 | 3,572 | $93K | |
| 2022 | 3,300 | $93K | |
| 2023 | 3,388 | $84K | |
| 2024incomplete | 1,868 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 46% | 3,690 | 3,074 | $267K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 25% | 1,772 | 1,343 | $148K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 6,341 | 5,186 | $105K |
| 92370 | 8.0% | 7,452 | 6,260 | $46K | |
| 92015 | Determination of refractive state | <1% | 360 | 264 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 102 | 60 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 52 | 36 | $2K |
| 92341 | <1% | 89 | 80 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 21 | 16 | $2K |
| 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% | 13 | 12 | $860.91 |
| 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% | 34 | 12 | $639.08 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 20 | 12 | $206.28 |
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 officialSLYMAN, JAMES (CEO)