Physician
Vaught Eye Associates, PA
Vaught Eye Associates, PA was paid $1.48M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.
33Billing provider infoVAUGHT EYE ASSOCIATES, PA
CONWAY, SC 29526
CONWAY, SC 29526
33aNPI1720187172assigned 09/22/2006
33bProvider typeOphthalmology Physician
28Total paid$1.48M
24GClaims43,851
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in South Carolina
Rank by total paid#7 of 64
Median peer was paid$15K
This provider vs. median97×
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 | 7,735 | $245K | |
| 2019 | 8,840 | $307K | |
| 2020 | 7,702 | $262K | |
| 2021 | 8,134 | $270K | |
| 2022 | 7,166 | $251K | |
| 2023 | 4,258 | $145K | |
| 2024incomplete | 16 | $102.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 49% | 11,519 | 10,980 | $732K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 3,600 | 3,447 | $285K |
| 92015 | Determination of refractive state | 17% | 17,135 | 15,970 | $257K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 10,037 | 9,952 | $169K |
| 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 | 1.0% | 192 | 179 | $15K |
| 92250 | <1% | 364 | 307 | $9K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 98 | 91 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 53 | 49 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 102 | 51 | $1K |
| V2020 | Frames, purchases | <1% | 18 | 17 | $850.00 |
| 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% | 15 | 12 | $512.39 |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 18 | 14 | $343.47 |
5 more codes
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 59 | $303.60 |
| 1036F | <1% | 203 | $0.10 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 307 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 97 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 34 | $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 officialVAUGHT, JAMES (OWNER)
Parent organizationVAUGHT EYE ASSOCIATES, PA