Physician
Summit Eye Care, P.A.
Summit Eye Care, P.A. was paid $104K by Medicaid between Sep 2022 and Nov 2024, across 12 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 24% of everything it billed.
33Billing provider infoSUMMIT EYE CARE, P.A.
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
33aNPI1992932016assigned 06/16/2009
33bProvider typeOphthalmology Physician
28Total paid$104K
24GClaims3,053
24DCodes billed12
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#41 of 118
Median peer was paid$22K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2022 | 32 | $1K | |
| 2023 | 1,075 | $34K | |
| 2024incomplete | 1,946 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 24% | 410 | 336 | $25K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 23% | 324 | 276 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 841 | 575 | $15K |
| 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 | 12% | 485 | 340 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 247 | 199 | $11K |
| 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 | 8.6% | 157 | 119 | $9K |
| 92134 | 2.2% | 265 | 191 | $2K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.0% | 33 | 14 | $2K |
| 92133 | 1.7% | 140 | 101 | $2K | |
| 92136 | <1% | 113 | 42 | $670.70 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | 14 | $280.65 |
| 92250 | <1% | 17 | 12 | $180.00 |
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 officialKHEMSARA, VICKAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Summit Eye Care of Mocksville PA | Mocksville, NC | $127K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.