OIG excluded
Wagner, Frederick
Wagner, Frederick was paid $910K by Medicaid between Jan 2018 and Dec 2021, across 14 billing codes. Its largest line is 99305, — 31% of everything it billed.
33Billing provider infoWAGNER, FREDERICK
CARLISLE, MA 01741
CARLISLE, MA 01741
33aNPI1013052257assigned 02/21/2007
33bProvider typeOptometrist
28Total paid$910K
24GClaims36,805
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#24 of 629
Median peer was paid$15K
This provider vs. median61×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (07/18/2024).
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 | 10,608 | $248K | |
| 2019 | 9,564 | $237K | |
| 2020 | 8,647 | $219K | |
| 2021 | 7,986 | $206K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99305 | 31% | 4,391 | 4,386 | $279K | |
| 99306 | Prolong nursin fac eval 15m | 24% | 2,678 | 2,675 | $219K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 19% | 3,098 | 3,091 | $176K |
| T2002 | Non-emergency transportation; per diem | 13% | 12,185 | 11,696 | $114K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.6% | 2,437 | 1,262 | $69K |
| 92015 | Determination of refractive state | 3.0% | 10,735 | 10,694 | $28K |
| 99310 | Prolong nursin fac eval 15m | 2.0% | 313 | 313 | $18K |
| 92341 | <1% | 176 | 174 | $5K | |
| V2020 | Frames, purchases | <1% | 177 | 120 | $804.77 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 183 | 129 | $468.02 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 35 | 26 | $448.76 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 316 | 290 | $396.90 |
2 more codes
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.