Physician
Lake Norman Ophthalmology PLLC
Lake Norman Ophthalmology PLLC was paid $23K by Medicaid between Jan 2018 and Apr 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoLAKE NORMAN OPHTHALMOLOGY PLLC
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
33aNPI1821147133assigned 01/09/2007
33bProvider typeOphthalmology Physician
28Total paid$23K
24GClaims865
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#59 of 118
Median peer was paid$22K
This provider vs. median1.0×
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 | 252 | $6K | |
| 2019 | 288 | $6K | |
| 2020 | 112 | $5K | |
| 2021 | 102 | $4K | |
| 2022 | 92 | $2K | |
| 2024incomplete | 19 | $374.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 596 | 514 | $13K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 21% | 68 | 67 | $5K |
| 92250 | 11% | 155 | 133 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.3% | 21 | 14 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 5.1% | 12 | 12 | $1K |
| 76519 | 1.1% | 13 | 12 | $247.54 |
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 officialPATEL, TUSHAR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Aaa Plus Transportation Service LLC | Richmond, VA | $3.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.