Wagner, David
Wagner, David was paid $150K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoWAGNER, DAVID
SENECA, PA 16346
SENECA, PA 16346
33aNPI1295754778assigned 07/18/2006
33bProvider typeOptometrist
28Total paid$150K
24GClaims8,022
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#174 of 983
Median peer was paid$20K
This provider vs. median7.4×
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 | 92 | $1K | |
| 2020 | 118 | $2K | |
| 2021 | 1,732 | $27K | |
| 2022 | 1,932 | $33K | |
| 2023 | 3,508 | $77K | |
| 2024incomplete | 640 | $11K |
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 | 30% | 996 | 964 | $46K |
| V2020 | Frames, purchases | 24% | 736 | 722 | $36K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14% | 413 | 408 | $20K |
| 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 | 13% | 224 | 220 | $19K |
| 92060 | 7.6% | 338 | 334 | $11K | |
| 92015 | Determination of refractive state | 6.3% | 1,638 | 1,598 | $9K |
| 92250 | 3.9% | 142 | 139 | $6K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.2% | 46 | 42 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 21 | 20 | $846.77 |
| 1036F | 0% | 1,162 | 1,128 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | 12 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 234 | 227 | $0.00 |
6 more codes
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,125 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 14 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 42 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 795 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 59 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 25 | $0.00 |
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.