Physician
Pediatric Ophthalmology Associates, P.A.
Pediatric Ophthalmology Associates, P.A. was paid $1.25M by Medicaid between Jan 2018 and Aug 2022, across 14 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 26% of everything it billed.
33Billing provider infoPEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.A.
GREENSBORO, NC 27408
GREENSBORO, NC 27408
33aNPI1821239971assigned 03/19/2009
33bProvider typeOphthalmology Physician
28Total paid$1.25M
24GClaims26,255
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#11 of 118
Median peer was paid$22K
This provider vs. median56×
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 | 5,961 | $289K | |
| 2019 | 6,716 | $314K | |
| 2020 | 6,146 | $301K | |
| 2021 | 5,383 | $260K | |
| 2022 | 2,049 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 26% | 2,473 | 2,157 | $325K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 19% | 3,010 | 2,798 | $240K |
| 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 | 19% | 3,461 | 2,930 | $238K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 3,027 | 2,528 | $141K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.4% | 5,770 | 5,230 | $105K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 6.6% | 831 | 777 | $82K |
| 92060 | 4.1% | 1,414 | 1,215 | $51K | |
| 92370 | 3.0% | 5,633 | 5,170 | $37K | |
| 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 | <1% | 81 | 69 | $8K |
| 67311 | <1% | 14 | 12 | $6K | |
| 99243 | <1% | 53 | 52 | $5K | |
| 92015 | Determination of refractive state | <1% | 336 | 253 | $5K |
2 more codes
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 officialYOUNG, WILLIAM (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Southwest General Health Center | Cleveland, OH | $22.82M |
| Rosenwald Life Center | Elizabethtown, KY | $6.68M |
| Regional Dental Center | Jacksonville, AL | $2.28M |
| Lee County EMS Ambulance, INC. | Donnellson, IA | $428K |
| Southwest General Health Center | Cleveland, OH | $137K |
| Southwest General Health Center | Middleburg Hts, OH | $133K |
| William H. Young, MD, PC | Richmond, VA | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.