Clemson Ophthalmology
Clemson Ophthalmology was paid $85K by Medicaid between Mar 2019 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.
33Billing provider infoCLEMSON OPHTHALMOLOGY
CLEMSON, SC 29631
CLEMSON, SC 29631
33aNPI1790939254assigned 11/11/2008
33bProvider typeOptometrist
28Total paid$85K
24GClaims2,570
24DCodes billed11
24AFirst – last monthMar 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#129 of 425
Median peer was paid$22K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2019 | 40 | $897.89 | |
| 2020 | 549 | $26K | |
| 2021 | 336 | $14K | |
| 2022 | 501 | $12K | |
| 2023 | 380 | $12K | |
| 2024incomplete | 764 | $19K |
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% | 782 | 678 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.2% | 376 | 348 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.0% | 99 | 81 | $7K |
| 92015 | Determination of refractive state | 6.5% | 474 | 415 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.9% | 242 | 110 | $5K |
| 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 | 5.9% | 125 | 103 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.7% | 209 | 179 | $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 | 4.8% | 26 | 24 | $4K |
| 92250 | 3.1% | 156 | 147 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.7% | 63 | 52 | $1K |
| V2020 | Frames, purchases | <1% | 18 | 14 | $664.99 |
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 officialFISK, MICHELLE (ACCOUNTS RECEIVABLE)
Parent organizationCLEMOSON OPHTHALMOLOGY