Physician
Carolina Ophthalmology PA
Carolina Ophthalmology PA was paid $832K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 48% of everything it billed.
33Billing provider infoCAROLINA OPHTHALMOLOGY PA
HENDERSONVILLE, NC 28791
HENDERSONVILLE, NC 28791
33aNPI1710936190assigned 05/10/2006
33bProvider typeOphthalmology Physician
28Total paid$832K
24GClaims7,781
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#13 of 118
Median peer was paid$22K
This provider vs. median37×
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 | 702 | $10K | |
| 2019 | 809 | $25K | |
| 2020 | 858 | $126K | |
| 2021 | 1,208 | $129K | |
| 2022 | 1,381 | $119K | |
| 2023 | 1,185 | $107K | |
| 2024incomplete | 1,638 | $317K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 48% | 644 | 428 | $402K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 31% | 312 | 185 | $260K |
| 67028 | Intravitreal injection of a pharmacologic agent | 12% | 2,103 | 1,227 | $99K |
| 92134 | 4.3% | 3,513 | 2,829 | $36K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 491 | 417 | $11K |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | <1% | 64 | 48 | $8K |
| 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% | 179 | 157 | $6K |
| 92133 | <1% | 303 | 254 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 45 | 40 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 57 | 53 | $762.60 |
| 92015 | Determination of refractive state | <1% | 70 | 64 | $519.07 |
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 officialHOLMES, RICHARD (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Richard M Holmes DMD, PA | Indian Trail, NC | $493K |
| Richard C Holmes DDS, PA | Cedar Point, NC | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.