Mountain Eye Associates, PLLC.
Mountain Eye Associates, PLLC. was paid $398K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 28% of everything it billed.
33Billing provider infoMOUNTAIN EYE ASSOCIATES, PLLC.
CLYDE, NC 28721
CLYDE, NC 28721
33aNPI1811982317assigned 09/12/2005
33bProvider typeOptometrist
28Total paid$398K
24GClaims18,813
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#70 of 636
Median peer was paid$41K
This provider vs. median9.7×
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 | 3,093 | $49K | |
| 2019 | 3,116 | $76K | |
| 2020 | 1,914 | $55K | |
| 2021 | 2,183 | $38K | |
| 2022 | 2,519 | $53K | |
| 2023 | 2,695 | $60K | |
| 2024incomplete | 3,293 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 28% | 2,092 | 1,353 | $112K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 5,435 | 3,852 | $73K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 15% | 766 | 590 | $58K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 10% | 1,049 | 827 | $40K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.4% | 509 | 402 | $29K |
| 92370 | 7.4% | 5,982 | 4,515 | $29K | |
| 92015 | Determination of refractive state | 4.5% | 1,806 | 1,422 | $18K |
| 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 | 3.8% | 385 | 296 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 356 | 248 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 119 | 98 | $7K |
| 92341 | <1% | 177 | 123 | $3K | |
| 92136 | <1% | 17 | 14 | $282.48 |
5 more codes
| G8482 | Influenza immunization administered or previously received | 0% | 17 | $0.00 |
| 4040F | 0% | 17 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 27 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 16 | $0.00 |
| 1036F | 0% | 43 | $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 officialMARKOFF, DAVID (OWNER/PHYSICIAN)