DR. E. M. Poole JR. LLC
DR. E. M. Poole JR. LLC was paid $73K by Medicaid between Jan 2018 and Mar 2022, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoDR. E. M. POOLE JR. LLC
SPARTANBURG, SC 29302
SPARTANBURG, SC 29302
33aNPI1801983705assigned 10/10/2006
33bProvider typeOptometrist
28Total paid$73K
24GClaims2,348
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#142 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 | 1,144 | $38K | |
| 2019 | 619 | $20K | |
| 2020 | 227 | $7K | |
| 2021 | 308 | $8K | |
| 2022 | 50 | $690.95 |
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 | 34% | 365 | 363 | $25K |
| 92250 | 24% | 453 | 450 | $17K | |
| 92015 | Determination of refractive state | 19% | 808 | 807 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 624 | 622 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 98 | 98 | $8K |
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 officialPOOLE, EDGAR (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Poole Family Eye Care LLC | Gaffney, SC | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.