Physician
Carolina Macular and Retinal Care LLC
Carolina Macular and Retinal Care LLC was paid $4K by Medicaid between Nov 2018 and Oct 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoCAROLINA MACULAR AND RETINAL CARE LLC
MT PLEASANT, SC 29464
MT PLEASANT, SC 29464
33aNPI1992966477assigned 06/18/2008
33bProvider typeOphthalmology Physician
28Total paid$4K
24GClaims177
24DCodes billed3
24AFirst – last monthNov 2018 – Oct 2022
Compared with peers
Next to other Ophthalmology Physician providers in South Carolina
Rank by total paid#46 of 64
Median peer was paid$15K
This provider vs. median0.3×
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 | 15 | $596.51 | |
| 2021 | 25 | $527.05 | |
| 2022 | 137 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 48% | 65 | 57 | $2K |
| 92134 | 37% | 97 | 81 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 15 | 12 | $596.51 |
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 officialGROSS, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Tri-State Ophthalmology Associates PSC | Ashland, KY | $305K |
| Parkers Chapel School | El Dorado, AR | $92K |
| Gateway Pharmacy of Clare INC | Clare, MI | $1K |
| Swartz Creek Family Pharmacy LLC | Swartz Creek, MI | $695.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.