Physician
Metrolina Eye Associates, PLLC
Metrolina Eye Associates, PLLC was paid $628K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 38% of everything it billed.
33Billing provider infoMETROLINA EYE ASSOCIATES, PLLC
MONROE, NC 28112
MONROE, NC 28112
33aNPI1700839305assigned 05/18/2006
33bProvider typeOphthalmology Physician
28Total paid$628K
24GClaims14,410
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#15 of 118
Median peer was paid$22K
This provider vs. median28×
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 | 1,964 | $69K | |
| 2019 | 1,568 | $84K | |
| 2020 | 895 | $57K | |
| 2021 | 1,477 | $100K | |
| 2022 | 2,271 | $128K | |
| 2023 | 5,378 | $168K | |
| 2024incomplete | 857 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 38% | 2,797 | 2,328 | $237K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 37% | 3,437 | 2,874 | $234K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 1,379 | 1,017 | $46K |
| 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 | 4.7% | 1,001 | 701 | $29K |
| 67028 | Intravitreal injection of a pharmacologic agent | 3.9% | 781 | 426 | $24K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.2% | 1,595 | 1,137 | $20K |
| J0178 | Injection, aflibercept, 1 mg | 1.7% | 66 | 26 | $11K |
| 92370 | 1.4% | 1,565 | 1,346 | $9K | |
| 92250 | 1.2% | 425 | 303 | $7K | |
| 92134 | <1% | 748 | 475 | $6K | |
| 92083 | <1% | 84 | 61 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 184 | 104 | $1K |
6 more codes
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 officialTAVARES, NICOLAS (CHIEF EXECUTIVE OFFICER)