Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Professional Eyecare Optometry, PA

Professional Eyecare Optometry, PA was paid $1.88M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 45% of everything it billed.

33Billing provider infoPROFESSIONAL EYECARE OPTOMETRY, PA
HOPE MILLS, NC 28348
33aNPI1811024961assigned 02/27/2007
33bProvider typeOptometrist
28Total paid$1.88M
24GClaims51,639
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in North Carolina

Rank by total paid#9 of 636
Median peer was paid$41K
This provider vs. median46×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20182,922$111K
20194,579$164K
20204,525$166K
20218,145$287K
20229,202$360K
20239,996$353K
2024incomplete12,270$442K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 45% 9,480 8,100 $844K
S0621 Routine ophthalmological examination including refraction; established patient 33% 8,485 7,347 $621K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 14,756 12,127 $252K
92370 5.1% 15,515 12,913 $96K
92341 2.2% 2,132 1,887 $42K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 710 590 $21K
92250 <1% 253 193 $4K
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 <1% 99 69 $2K
V2020 Frames, purchases 0% 209 208 $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 officialRAYNOR, JOHN (OWNER)