Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mitchell, Edwin

Mitchell, Edwin was paid $388K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.

33Billing provider infoMITCHELL, EDWIN
HARTSVILLE, SC 29550
33aNPI1700132719assigned 07/27/2012
33bProvider typeOptometrist
28Total paid$388K
24GClaims13,487
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in South Carolina

Rank by total paid#31 of 425
Median peer was paid$22K
This provider vs. median18×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,894$82K
20192,730$77K
20202,251$63K
20212,846$75K
20221,797$53K
2023636$26K
2024incomplete333$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 31% 1,612 1,610 $119K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27% 1,560 1,555 $104K
92340 Fitting of spectacles, except for aphakia; monofocal 12% 2,819 2,808 $45K
92015 Determination of refractive state 11% 3,342 3,334 $43K
V2020 Frames, purchases 11% 1,609 1,602 $42K
V2199 Not otherwise classified, single vision lens 3.6% 377 374 $14K
V2784 Lens, polycarbonate or equal, any index, per lens 3.4% 1,556 1,549 $13K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.1% 612 609 $8K

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.