Cape Fear Optometric Clinic PA
Cape Fear Optometric Clinic PA was paid $338K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 38% of everything it billed.
33Billing provider infoCAPE FEAR OPTOMETRIC CLINIC PA
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1679535504assigned 04/05/2006
33bProvider typeOptometrist
28Total paid$338K
24GClaims11,604
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#85 of 636
Median peer was paid$41K
This provider vs. median8.3×
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 | 713 | $21K | |
| 2019 | 1,494 | $46K | |
| 2020 | 1,623 | $46K | |
| 2021 | 1,997 | $57K | |
| 2022 | 2,060 | $52K | |
| 2023 | 2,331 | $67K | |
| 2024incomplete | 1,386 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 38% | 1,635 | 1,283 | $127K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 34% | 1,792 | 1,463 | $114K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 3,388 | 2,869 | $60K |
| 92370 | 7.3% | 4,182 | 3,555 | $25K | |
| 92341 | 3.1% | 488 | 433 | $10K | |
| 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% | 61 | 39 | $1K |
| 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% | 26 | 13 | $439.18 |
| 92015 | Determination of refractive state | <1% | 32 | 15 | $256.66 |
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 officialPHILBRICK, WILLIAM (PRESIDENT OPTOMETRIST)