Wilson, Paul
Wilson, Paul was paid $69K by Medicaid between Mar 2018 and Jan 2023, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.
33Billing provider infoWILSON, PAUL
TEMECULA, CA 92590
TEMECULA, CA 92590
33aNPI1013247246assigned 01/11/2010
33bProvider typeOptometrist
28Total paid$69K
24GClaims3,429
24DCodes billed7
24AFirst – last monthMar 2018 – Jan 2023
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#623 of 1,899
Median peer was paid$23K
This provider vs. median3.0×
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 | 253 | $5K | |
| 2019 | 411 | $7K | |
| 2020 | 324 | $6K | |
| 2021 | 1,207 | $25K | |
| 2022 | 1,217 | $26K | |
| 2023 | 17 | $134.81 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 53% | 1,016 | 1,006 | $37K |
| 92015 | Determination of refractive state | 16% | 1,470 | 1,455 | $11K |
| V2020 | Frames, purchases | 14% | 445 | 440 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 376 | 370 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.1% | 73 | 73 | $3K |
| 92250 | <1% | 13 | 13 | $542.23 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 36 | 36 | $265.32 |
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.