PEMBROKE OPTOMETRIC CLINIC PA
NPI: 1942284880
· PEMBROKE, NC 28372
· Optometrist
· NPI assigned 12/05/2005
$213K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,090 |
$27K |
| 2019 |
1,571 |
$42K |
| 2020 |
847 |
$30K |
| 2021 |
985 |
$41K |
| 2022 |
432 |
$33K |
| 2023 |
395 |
$25K |
| 2024 |
190 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,695 |
1,421 |
$125K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
643 |
561 |
$58K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,220 |
1,074 |
$20K |
| 92370 |
|
1,488 |
1,312 |
$9K |
| 92341 |
|
90 |
73 |
$1K |
| 99215 |
Prolong outpt/office vis |
38 |
36 |
$605.23 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
228 |
158 |
$0.00 |
| 3072F |
|
54 |
41 |
$0.00 |
| 1036F |
|
54 |
39 |
$0.00 |