Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Wheeler, Stephen

Wheeler, Stephen was paid $249K by Medicaid between Jan 2018 and Jun 2022, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 71% of everything it billed.

33Billing provider infoWHEELER, STEPHEN
XENIA, OH 45385
33aNPI1104832112assigned 07/31/2006
33bProvider typeOptometrist
28Total paid$249K
24GClaims5,693
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#137 of 1,098
Median peer was paid$41K
This provider vs. median6.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,813$131K
20192,473$101K
202043$2K
2021295$13K
202269$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 71% 3,950 3,943 $176K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 1,367 1,362 $56K
S0620 Routine ophthalmological examination including refraction; new patient 3.8% 220 220 $9K
S0621 Routine ophthalmological examination including refraction; established patient 2.7% 156 156 $7K

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.