Cape Fear Eye Associates PA
Cape Fear Eye Associates PA was paid $2.30M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 25% of everything it billed.
33Billing provider infoCAPE FEAR EYE ASSOCIATES PA
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1962456343assigned 05/20/2006
33bProvider typeOptometrist
28Total paid$2.30M
24GClaims55,253
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#8 of 636
Median peer was paid$41K
This provider vs. median56×
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 | 8,958 | $330K | |
| 2019 | 9,092 | $439K | |
| 2020 | 8,432 | $436K | |
| 2021 | 9,508 | $468K | |
| 2022 | 8,910 | $313K | |
| 2023 | 4,372 | $120K | |
| 2024incomplete | 5,981 | $191K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 25% | 8,858 | 7,088 | $572K |
| 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 | 19% | 12,396 | 8,800 | $434K |
| 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 | 15% | 4,177 | 3,109 | $349K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 9,532 | 7,013 | $271K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 9.8% | 2,625 | 2,199 | $225K |
| J0178 | Injection, aflibercept, 1 mg | 5.2% | 160 | 106 | $120K |
| 92060 | 4.0% | 2,654 | 2,084 | $91K | |
| 92250 | 2.9% | 3,900 | 2,699 | $66K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.8% | 655 | 418 | $42K |
| 92015 | Determination of refractive state | 1.7% | 4,387 | 2,990 | $38K |
| 92134 | 1.2% | 2,438 | 1,705 | $28K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 116 | 65 | $14K |
16 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 271 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,148 | $13K |
| 92133 | <1% | 372 | $7K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 189 | $3K |
| 92083 | <1% | 135 | $3K | |
| 92136 | <1% | 295 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $1K |
| 92025 | <1% | 59 | $499.44 | |
| 92145 | <1% | 375 | $336.63 | |
| 92202 | <1% | 204 | $249.25 | |
| 92225 | <1% | 136 | $229.30 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 31 | $204.08 |
| 92020 | <1% | 20 | $192.20 | |
| 92226 | <1% | 41 | $107.50 | |
| 76514 | <1% | 17 | $73.40 | |
| 92201 | <1% | 17 | $19.73 |
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 officialMADISON, PAMELA (CREDENTIALING MANAGER)