Sunset Eye Care Od PLLC
Sunset Eye Care Od PLLC was paid $29K by Medicaid between Jan 2018 and Dec 2018, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 66% of everything it billed.
33Billing provider infoSUNSET EYE CARE OD PLLC
WINTERVILLE, NC 28590
WINTERVILLE, NC 28590
33aNPI1669620183assigned 09/09/2008
33bProvider typeOptometrist
28Total paid$29K
24GClaims4,403
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#361 of 636
Median peer was paid$41K
This provider vs. median0.7×
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 | 4,403 | $29K |
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 | 66% | 1,378 | 1,299 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 32% | 480 | 442 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.5% | 14 | 14 | $442.85 |
| 92250 | <1% | 16 | 16 | $165.30 | |
| 3284F | 0% | 125 | 125 | $0.00 | |
| 1036F | 0% | 864 | 861 | $0.00 | |
| 3285F | 0% | 82 | 82 | $0.00 | |
| 4177F | 0% | 55 | 55 | $0.00 | |
| 2027F | 0% | 204 | 204 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 883 | 880 | $0.00 |
| 0517F | 0% | 81 | 81 | $0.00 | |
| 2022F | 0% | 206 | 204 | $0.00 |
1 more codes
| 92015 | Determination of refractive state | 0% | 15 | $0.00 |
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 officialBINKLEY, DUANE (OWNER)