Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Daphne › NPI 1891967188

Baldwin Eye Clinic One Hour Opticial

Baldwin Eye Clinic One Hour Opticial was paid $239K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.

33Billing provider infoBALDWIN EYE CLINIC ONE HOUR OPTICIAL
DAPHNE, AL 36526
33aNPI1891967188assigned 03/27/2008
33bProvider typeOptometrist
28Total paid$239K
24GClaims13,788
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Alabama

Rank by total paid#100 of 346
Median peer was paid$59K
This provider vs. median4.0×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018953$17K
20191,587$30K
20201,515$28K
20212,735$38K
20222,416$38K
20232,936$54K
2024incomplete1,646$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 957 838 $54K
92340 Fitting of spectacles, except for aphakia; monofocal 20% 3,169 2,697 $47K
V2784 Lens, polycarbonate or equal, any index, per lens 15% 2,841 2,163 $35K
V2020 Frames, purchases 12% 2,995 2,551 $29K
V2750 Anti-reflective coating, per lens 12% 428 316 $29K
92015 Determination of refractive state 8.0% 2,541 2,174 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7.3% 245 201 $17K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.9% 381 311 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.2% 177 165 $3K
S0621 Routine ophthalmological examination including refraction; established patient <1% 28 27 $698.00
V2102 Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens <1% 26 16 $0.16

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 officialSCOTT, BERNARD (OWNER)