Wilson Eye Associates Optometrists, PA
Wilson Eye Associates Optometrists, PA was paid $1.36M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 47% of everything it billed.
33Billing provider infoWILSON EYE ASSOCIATES OPTOMETRISTS, PA
WILSON, NC 27893
WILSON, NC 27893
33aNPI1710926662assigned 06/06/2006
33bProvider typeOptometrist
28Total paid$1.36M
24GClaims37,245
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#16 of 636
Median peer was paid$41K
This provider vs. median33×
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 | 4,375 | $141K | |
| 2019 | 5,658 | $186K | |
| 2020 | 3,516 | $133K | |
| 2021 | 5,227 | $200K | |
| 2022 | 7,372 | $270K | |
| 2023 | 5,750 | $216K | |
| 2024incomplete | 5,347 | $216K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 47% | 8,466 | 7,447 | $638K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 29% | 4,291 | 3,678 | $392K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 9,869 | 8,670 | $186K |
| 92370 | 5.3% | 11,340 | 9,942 | $72K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 1,113 | 857 | $37K |
| 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 | 1.9% | 624 | 561 | $26K |
| 92250 | <1% | 471 | 382 | $6K | |
| 92341 | <1% | 219 | 216 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 15 | 15 | $145.98 |
| 92015 | Determination of refractive state | <1% | 58 | 49 | $115.41 |
| G8421 | Bmi not documented and no reason is given | 0% | 26 | 25 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 316 | 304 | $0.00 |
2 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 officialBOYKIN, ROBIN (OFFICE MANAGER)