Scott Matthews Od PA
Scott Matthews Od PA was paid $427K by Medicaid between Jul 2021 and Dec 2024, across 13 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 41% of everything it billed.
33Billing provider infoSCOTT MATTHEWS OD PA
WILLIAMSTON, NC 27892
WILLIAMSTON, NC 27892
33aNPI1881295665assigned 11/06/2020
33bProvider typeOptometrist
28Total paid$427K
24GClaims15,150
24DCodes billed13
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#62 of 636
Median peer was paid$41K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2021 | 2,116 | $37K | |
| 2022 | 5,265 | $133K | |
| 2023 | 4,118 | $116K | |
| 2024incomplete | 3,651 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 41% | 2,340 | 1,824 | $175K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 20% | 905 | 788 | $86K |
| 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% | 2,059 | 1,581 | $55K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 2,586 | 2,068 | $47K |
| 92370 | 5.6% | 3,642 | 2,994 | $24K | |
| 92341 | 3.5% | 760 | 683 | $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 | 2.8% | 443 | 281 | $12K |
| 92250 | 1.4% | 701 | 532 | $6K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 317 | 284 | $4K |
| 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% | 73 | 54 | $4K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 384 | 368 | $0.00 |
| 1036F | 0% | 387 | 370 | $0.00 |
1 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 553 | $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 officialPEEL, DEBBIE (OFFICE MANAGER)