Raleigh Eye Center, PA
Raleigh Eye Center, PA was paid $1.18M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 38% of everything it billed.
33Billing provider infoRALEIGH EYE CENTER, PA
RALEIGH, NC 27609
RALEIGH, NC 27609
33aNPI1902857675assigned 05/15/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$1.18M
24GClaims20,081
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in North Carolina
Rank by total paid#1 of 14
Median peer was paid$54K
This provider vs. median22×
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 | 3,113 | $242K | |
| 2019 | 3,259 | $227K | |
| 2020 | 3,082 | $207K | |
| 2021 | 3,825 | $253K | |
| 2022 | 3,970 | $175K | |
| 2023 | 1,615 | $40K | |
| 2024incomplete | 1,217 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 38% | 4,843 | 4,225 | $451K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 34% | 5,294 | 4,704 | $402K |
| 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 | 8.9% | 1,053 | 929 | $105K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 2,381 | 1,784 | $89K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 716 | 531 | $50K |
| 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 | 2.1% | 703 | 565 | $25K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 476 | 160 | $23K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 680 | 638 | $12K |
| 92060 | <1% | 206 | 167 | $7K | |
| 99253 | <1% | 80 | 64 | $6K | |
| 92370 | <1% | 743 | 696 | $5K | |
| 92136 | <1% | 540 | 370 | $3K |
11 more codes
| 92133 | <1% | 202 | $2K | |
| 92134 | <1% | 129 | $851.58 | |
| 92083 | <1% | 31 | $674.72 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $543.08 |
| 92015 | Determination of refractive state | <1% | 42 | $283.77 |
| 92250 | <1% | 12 | $226.16 | |
| 92201 | <1% | 1,483 | $174.44 | |
| 76514 | <1% | 15 | $58.00 | |
| 92226 | <1% | 368 | $53.98 | |
| 92225 | <1% | 19 | $5.41 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 47 | $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 officialARNOLD, LESLIE (BUSINESS MANAGER)