Sands, Wesley
Sands, Wesley was paid $161K by Medicaid between Jan 2018 and May 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.
33Billing provider infoSANDS, WESLEY
LAWRENCEBURG, TN 38464
LAWRENCEBURG, TN 38464
33aNPI1043531064assigned 06/14/2010
33bProvider typeOptometrist
28Total paid$161K
24GClaims5,706
24DCodes billed10
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#148 of 698
Median peer was paid$19K
This provider vs. median8.5×
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 | 762 | $25K | |
| 2019 | 1,365 | $41K | |
| 2020 | 3,145 | $89K | |
| 2021 | 138 | $2K | |
| 2022 | 126 | $2K | |
| 2023 | 140 | $1K | |
| 2024incomplete | 30 | $370.43 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 36% | 1,021 | 999 | $59K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 1,248 | 1,224 | $37K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 275 | 271 | $21K |
| 92015 | Determination of refractive state | 12% | 1,866 | 1,810 | $20K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.4% | 527 | 516 | $12K |
| V2020 | Frames, purchases | 6.2% | 670 | 654 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 49 | 41 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 21 | 13 | $435.62 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 15 | 14 | $29.52 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 14 | 14 | $0.00 |
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.