Managed care
Envolve Vision, INC.
Envolve Vision, INC. was paid $2.22M by Medicaid between Jan 2018 and Sep 2018, across 27 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoENVOLVE VISION, INC.
ROCKY MOUNT, NC 27804
ROCKY MOUNT, NC 27804
33aNPI1700283405assigned 11/24/2014
33bProvider typePoint of Service
28Total paid$2.22M
24GClaims224,687
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Point of Service providers in North Carolina
Rank by total paid#3 of 6
Median peer was paid$2.00M
This provider vs. median1.1×
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 | 224,687 | $2.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 36,701 | 36,662 | $631K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 31,923 | 31,859 | $564K |
| 92015 | Determination of refractive state | 14% | 84,021 | 83,888 | $314K |
| V2020 | Frames, purchases | 14% | 33,361 | 33,138 | $313K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 32,093 | 32,001 | $290K |
| 92250 | <1% | 1,330 | 1,324 | $19K | |
| 92341 | <1% | 665 | 665 | $17K | |
| 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% | 955 | 895 | $13K |
| 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% | 456 | 425 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 834 | 805 | $8K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 420 | 401 | $7K |
| 68761 | <1% | 52 | 24 | $6K |
15 more codes
| 92134 | <1% | 338 | $6K | |
| 92133 | <1% | 216 | $5K | |
| 92083 | <1% | 284 | $5K | |
| 99243 | <1% | 72 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $2K |
| 92226 | <1% | 59 | $2K | |
| 76514 | <1% | 180 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 231 | $806.13 |
| 83861 | <1% | 13 | $490.36 | |
| 92285 | <1% | 12 | $456.00 | |
| 92002 | <1% | 12 | $354.24 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 185 | $188.91 |
| 92025 | <1% | 18 | $184.30 | |
| V2025 | Deluxe frame | <1% | 47 | $129.90 |
| 92020 | 0% | 155 | $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 officialLAVELY, DAVID (PRESIDENT & CEO)
Parent organizationCENCORP HEALTH SOLUTIONS, INC.
| Provider | Location | Paid |
|---|---|---|
| Envolve Optical INC | Rocky Mount, NC | $92.95 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.