Smithfield Eye Associates Optometry
Smithfield Eye Associates Optometry was paid $938K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 39% of everything it billed.
33Billing provider infoSMITHFIELD EYE ASSOCIATES OPTOMETRY
SMITHFIELD, NC 27577
SMITHFIELD, NC 27577
33aNPI1851336465assigned 06/18/2006
33bProvider typeOptometrist
28Total paid$938K
24GClaims48,766
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#25 of 636
Median peer was paid$41K
This provider vs. median23×
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 | 7,109 | $114K | |
| 2019 | 9,603 | $159K | |
| 2020 | 6,814 | $119K | |
| 2021 | 8,171 | $154K | |
| 2022 | 7,114 | $141K | |
| 2023 | 5,701 | $148K | |
| 2024incomplete | 4,254 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 39% | 4,904 | 4,111 | $365K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 27% | 2,886 | 2,382 | $250K |
| 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 | 13% | 1,945 | 1,456 | $125K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 6,564 | 5,584 | $116K |
| 92370 | 4.7% | 7,405 | 6,237 | $44K | |
| 92083 | 1.2% | 364 | 305 | $11K | |
| 92250 | 1.2% | 816 | 693 | $11K | |
| 92341 | 1.0% | 460 | 397 | $10K | |
| 92273 | <1% | 66 | 50 | $3K | |
| 92134 | <1% | 49 | 49 | $822.33 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 170 | 146 | $605.04 |
| 92020 | <1% | 79 | 71 | $595.70 |
21 more codes
| 92133 | <1% | 25 | $525.92 | |
| 92275 | <1% | 15 | $386.09 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 24 | $354.92 |
| 3072F | <1% | 196 | $22.96 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 6,339 | $0.03 |
| 2022F | <1% | 66 | $0.02 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 6,504 | $0.00 |
| 1036F | 0% | 6,871 | $0.00 | |
| 3044F | 0% | 102 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 54 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 79 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 246 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 60 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 1,194 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 662 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 393 | $0.00 |
| 4004F | 0% | 110 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 27 | $0.00 |
| 5010F | 0% | 44 | $0.00 | |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 12 | $0.00 |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 35 | $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 officialHAINES, MICHAEL (OWNER DOCTOR)