Wiles, Derek
Wiles, Derek was paid $9K by Medicaid between Jan 2018 and Feb 2020, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.
33Billing provider infoWILES, DEREK
LEADINGTON, MO 63601
LEADINGTON, MO 63601
33aNPI1225336324assigned 03/14/2011
33bProvider typeOptometrist
28Total paid$9K
24GClaims690
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#344 of 547
Median peer was paid$19K
This provider vs. median0.5×
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 | 436 | $5K | |
| 2019 | 206 | $3K | |
| 2020 | 48 | $883.13 |
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 | 58% | 128 | 104 | $5K |
| 92015 | Determination of refractive state | 22% | 489 | 376 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 37 | 27 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.5% | 24 | 12 | $300.00 |
| V2020 | Frames, purchases | 2.3% | 12 | 12 | $200.00 |
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.