Waggoner, Chad
Waggoner, Chad was paid $259K by Medicaid between Aug 2023 and Jun 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoWAGGONER, CHAD
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1285686139assigned 05/17/2006
33bProvider typeOptometrist
28Total paid$259K
24GClaims8,829
24DCodes billed22
24AFirst – last monthAug 2023 – Jun 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#29 of 209
Median peer was paid$24K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2023 | 2,884 | $86K | |
| 2024incomplete | 5,945 | $174K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 889 | 881 | $61K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 774 | 759 | $32K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 1,206 | 672 | $29K |
| V2020 | Frames, purchases | 8.3% | 1,139 | 1,107 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 422 | 402 | $20K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.7% | 1,022 | 999 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 145 | 140 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.2% | 190 | 186 | $11K |
| 92015 | Determination of refractive state | 4.0% | 546 | 531 | $10K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 3.6% | 1,092 | 536 | $9K |
| 92250 | 3.3% | 268 | 263 | $9K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.1% | 316 | 218 | $8K |
10 more codes
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.3% | 141 | $6K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.3% | 128 | $3K |
| 92370 | <1% | 270 | $3K | |
| 92341 | <1% | 123 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 36 | $1K |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | <1% | 22 | $936.27 |
| 92342 | <1% | 40 | $839.65 | |
| 92133 | <1% | 27 | $715.31 | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 20 | $512.70 |
| 92083 | <1% | 13 | $497.25 |
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.