Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Pikeville › NPI 1154332922
Physician

Wheeler, Charles

Wheeler, Charles was paid $35K by Medicaid between Feb 2018 and Nov 2020, across 3 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 92% of everything it billed.

33Billing provider infoWHEELER, CHARLES
PIKEVILLE, KY 41501
33aNPI1154332922assigned 08/10/2006
33bProvider typeOphthalmology Physician
28Total paid$35K
24GClaims151
24DCodes billed3
24AFirst – last monthFeb 2018 – Nov 2020
Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#45 of 110
Median peer was paid$15K
This provider vs. median2.3×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
201883$21K
201935$7K
202033$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 92% 93 84 $32K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.2% 15 13 $1K
92136 3.7% 43 40 $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.