Carolina Eye Care of Lincoln County Optometry PLLC
Carolina Eye Care of Lincoln County Optometry PLLC was paid $101K by Medicaid between Jan 2018 and Aug 2024, across 10 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 38% of everything it billed.
33Billing provider infoCAROLINA EYE CARE OF LINCOLN COUNTY OPTOMETRY PLLC
DENVER, NC 28037
DENVER, NC 28037
33aNPI1699863068assigned 10/11/2006
33bProvider typeOptometrist
28Total paid$101K
24GClaims4,518
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#229 of 636
Median peer was paid$41K
This provider vs. median2.5×
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 | 1,565 | $42K | |
| 2019 | 1,178 | $27K | |
| 2020 | 979 | $22K | |
| 2021 | 533 | $6K | |
| 2022 | 70 | $2K | |
| 2023 | 81 | $854.00 | |
| 2024incomplete | 112 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 38% | 526 | 494 | $38K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 27% | 1,512 | 1,343 | $27K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 21% | 257 | 231 | $21K |
| 92370 | 12% | 1,902 | 1,705 | $12K | |
| 92250 | <1% | 62 | 53 | $678.85 | |
| 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% | 12 | 12 | $569.98 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 14 | 12 | $338.39 |
| 92015 | Determination of refractive state | <1% | 28 | 26 | $68.83 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 117 | 109 | $0.00 |
| 1036F | 0% | 88 | 82 | $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 officialNISHEK, BRIAN (OWNER/OPTOMETRIST)