Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clarkson Optometry Midwest INC.

Clarkson Optometry Midwest INC. was paid $460K by Medicaid between Jan 2018 and Apr 2024, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 29% of everything it billed.

33Billing provider infoCLARKSON OPTOMETRY MIDWEST INC.
BALLWIN, MO 63011
33aNPI1225499098assigned 03/08/2016
33bProvider typeOptometrist
28Total paid$460K
24GClaims17,170
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#16 of 547
Median peer was paid$19K
This provider vs. median24×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WACHTER, JAMES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20188,005$216K
20197,030$192K
2020806$22K
2021554$11K
2022317$7K
2023202$5K
2024incomplete256$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 29% 6,971 6,709 $134K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26% 2,870 2,788 $119K
92340 Fitting of spectacles, except for aphakia; monofocal 22% 4,770 4,689 $101K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19% 1,915 1,857 $87K
92341 2.3% 422 419 $11K
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% 78 70 $3K
92250 <1% 95 93 $3K
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% 36 36 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 13 $347.49

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 officialWACHTER, JAMES (AUTHORIZED OFFICIAL)
Same official

Other billing entities under WACHTER, JAMES

Full network →
ProviderLocationPaid
Clarkson Optometry Midwest INCLebanon, KY$2.12M
Eyecare Associates, INC.Huntsville, AL$564K
Eyecare Associates, INC.Prattville, AL$467K
Eyecare Associates, INC.Scottsboro, AL$395K
Eyecare Associates, INC.Madison, AL$300K
Eyecare Associates, INC.Arab, AL$242K
Eyecare Associates, INC.Moody, AL$206K
Eyecare Associates, INC.Birmingham, AL$114K
Eyecare Associates, INC.Decatur, AL$99K
Eyecare Associates, INC.Birmingham, AL$96K
Eyecare Associates, INC.Clanton, AL$94K
Clarkson Optometry Midwest INCMansfield, OH$77K
Eyecare Associates, INC.Northport, AL$74K
Eyecare Associates, INC.Southside, AL$68K
Clarkson Optometry Midwest INC.Louisville, KY$31K
Eyecare Associates, INC.Mobile, AL$23K
Bennett Optometry LLCAnn Arbor, MI$16K
Clarkson Optometry Midwest INC.Elizabethtown, KY$13K
Clarkson Optometry Midwest INCClarksville, IN$10K
Clarkson Optometry Midwest INC.Louisville, KY$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.