Pembroke Optometric Clinic PA
Pembroke Optometric Clinic PA was paid $213K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 59% of everything it billed.
33Billing provider infoPEMBROKE OPTOMETRIC CLINIC PA
PEMBROKE, NC 28372
PEMBROKE, NC 28372
33aNPI1942284880assigned 12/05/2005
33bProvider typeOptometrist
28Total paid$213K
24GClaims5,510
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#130 of 636
Median peer was paid$41K
This provider vs. median5.2×
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 | 1,090 | $27K | |
| 2019 | 1,571 | $42K | |
| 2020 | 847 | $30K | |
| 2021 | 985 | $41K | |
| 2022 | 432 | $33K | |
| 2023 | 395 | $25K | |
| 2024incomplete | 190 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 59% | 1,695 | 1,421 | $125K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 27% | 643 | 561 | $58K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.2% | 1,220 | 1,074 | $20K |
| 92370 | 4.2% | 1,488 | 1,312 | $9K | |
| 92341 | <1% | 90 | 73 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 38 | 36 | $605.23 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 228 | 158 | $0.00 |
| 3072F | 0% | 54 | 41 | $0.00 | |
| 1036F | 0% | 54 | 39 | $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 officialLOCKLEAR, SANDRA (PRESIDENT)