Managed care
Wardell Vision Center, PC
Wardell Vision Center, PC was paid $1.32M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoWARDELL VISION CENTER, PC
BILLINGS, MT 59102
BILLINGS, MT 59102
33aNPI1205271053assigned 05/07/2013
33bProvider typeExclusive Provider Organization
28Total paid$1.32M
24GClaims29,936
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
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 | 3,252 | $148K | |
| 2019 | 3,802 | $162K | |
| 2020 | 3,642 | $151K | |
| 2021 | 4,854 | $186K | |
| 2022 | 4,611 | $211K | |
| 2023 | 5,236 | $236K | |
| 2024incomplete | 4,539 | $227K |
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 | 28% | 3,379 | 3,153 | $375K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 3,586 | 3,369 | $342K |
| 92250 | 19% | 7,696 | 7,171 | $255K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 5,340 | 4,999 | $142K |
| 92015 | Determination of refractive state | 9.3% | 8,161 | 7,656 | $123K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.8% | 600 | 529 | $37K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.0% | 344 | 303 | $27K |
| 68761 | <1% | 44 | 39 | $7K | |
| 92060 | <1% | 111 | 108 | $6K | |
| 99072 | <1% | 675 | 634 | $5K |
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.
From NPPES
Who's on the registration
Authorized officialWARDELL, MICHAEL (DOCTOR/OWNER)