Poole, Edgar
Poole, Edgar was paid $73K by Medicaid between Jan 2018 and Feb 2022, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.
33Billing provider infoPOOLE, EDGAR
SPARTANBURG, SC 29302
SPARTANBURG, SC 29302
33aNPI1770580755assigned 07/05/2005
33bProvider typeOptometrist
28Total paid$73K
24GClaims2,591
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#141 of 425
Median peer was paid$22K
This provider vs. median3.4×
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 | 302 | $7K | |
| 2019 | 671 | $20K | |
| 2020 | 1,108 | $33K | |
| 2021 | 446 | $11K | |
| 2022 | 64 | $890.98 |
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 | 32% | 356 | 349 | $23K |
| 92250 | 28% | 605 | 596 | $21K | |
| 92015 | Determination of refractive state | 16% | 752 | 740 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 750 | 742 | $10K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.4% | 90 | 88 | $7K |
| V2020 | Frames, purchases | <1% | 13 | 13 | $242.50 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 12 | 12 | $181.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 13 | 13 | $161.00 |
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.