Raeford Eye Clinic INC.
Raeford Eye Clinic INC. was paid $287K by Medicaid between Jan 2018 and Apr 2021, across 9 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 45% of everything it billed.
33Billing provider infoRAEFORD EYE CLINIC INC.
RAEFORD, NC 28376
RAEFORD, NC 28376
33aNPI1780603845assigned 07/19/2006
33bProvider typeOptometrist
28Total paid$287K
24GClaims8,613
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#97 of 636
Median peer was paid$41K
This provider vs. median7.0×
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 | 2,832 | $98K | |
| 2019 | 3,450 | $111K | |
| 2020 | 1,714 | $55K | |
| 2021 | 617 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 45% | 1,701 | 1,620 | $128K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 27% | 848 | 810 | $78K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 2,186 | 1,975 | $41K |
| 92370 | 5.9% | 2,672 | 2,424 | $17K | |
| 92341 | 3.1% | 407 | 373 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 447 | 391 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 291 | 284 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 49 | 49 | $2K |
| 92250 | 0% | 12 | 12 | $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 officialINMAN, TOM (OPTOMOTRIST)