Wilson, Donald
Wilson, Donald was paid $11K by Medicaid between Jan 2018 and Feb 2020, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 69% of everything it billed.
33Billing provider infoWILSON, DONALD
NEWARK, NY 14513
NEWARK, NY 14513
33aNPI1023104239assigned 10/05/2006
33bProvider typeOptometrist
28Total paid$11K
24GClaims177
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#989 of 1,605
Median peer was paid$29K
This provider vs. median0.4×
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 | 66 | $6K | |
| 2019 | 79 | $5K | |
| 2020 | 32 | $512.32 |
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 | 69% | 83 | 83 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 27 | 27 | $2K |
| 92015 | Determination of refractive state | 9.6% | 67 | 67 | $1K |
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.