Gadsden Eye Associates P C
Gadsden Eye Associates P C was paid $598K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.
GADSDEN, AL 35901
Next to other Specialist providers in Alabama
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,069 | $49K | |
| 2019 | 3,378 | $65K | |
| 2020 | 3,393 | $82K | |
| 2021 | 3,801 | $101K | |
| 2022 | 4,043 | $106K | |
| 2023 | 3,059 | $91K | |
| 2024incomplete | 3,119 | $105K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43% | 7,615 | 6,420 | $259K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 41% | 3,989 | 3,535 | $243K |
| 92015 | Determination of refractive state | 11% | 10,574 | 8,930 | $63K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.0% | 133 | 63 | $12K |
| 99243 | 1.2% | 174 | 102 | $7K | |
| 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% | 318 | 226 | $5K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 158 | 157 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 330 | 175 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 40 | 40 | $1K |
| 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% | 13 | 12 | $958.00 |
| 92134 | <1% | 261 | 196 | $712.14 | |
| 92136 | <1% | 257 | 78 | $594.22 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Community Eye Care Specialists, P.C. | Warren, PA | $1.98M |
| Medical Center Ophthalmology Associates | San Antonio, TX | $683K |
| Tri-State Centers for Sight INC | Cincinnati, OH | $560K |
| Merci, LLC | Alto, TX | $344K |
| Community Surgery & Laser Center, LLC | Warren, PA | $184K |
| Eye Center of Texas LLP | Bellaire, TX | $133K |
| Montgomery Eye Physicians P.C | Montgomery, AL | $72K |
| Tri-State Centers for Sight, INC. | Crestview Hills, KY | $32K |
| Florida Eye Microsurgical Institute INC | Boynton Beach, FL | $29K |
| Carolina Cataract and Vision Center | Ladson, SC | $20K |
| Northeast Alabama Eye Surgery Center | Gadsden, AL | $6K |
| Atlantic Eye Institute, P.A. | Jacksonville Beach, FL | $3K |
| Ophthalmology & Oculoplastic Surgery INC | Chardon, OH | $3K |
| Center for Sight of Northwest Florida PA | Pensacola, FL | $116.69 |
| Novamed Surgery Center of Oak Lawn, LLC | Oak Lawn, IL | $94.06 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.