Austin, Thomas
Austin, Thomas was paid $73K by Medicaid between Mar 2023 and Oct 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoAUSTIN, THOMAS
WISCONSIN RAPIDS, WI 54494
WISCONSIN RAPIDS, WI 54494
33aNPI1356084222assigned 04/18/2022
33bProvider typeOptometrist
28Total paid$73K
24GClaims2,662
24DCodes billed9
24AFirst – last monthMar 2023 – Oct 2024
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#81 of 412
Median peer was paid$7K
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 | 1,687 | $46K | |
| 2024incomplete | 975 | $27K |
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% | 455 | 453 | $21K |
| 92015 | Determination of refractive state | 20% | 935 | 925 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 325 | 325 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 420 | 418 | $12K |
| V2020 | Frames, purchases | 12% | 346 | 344 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.8% | 95 | 95 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.0% | 16 | 16 | $743.20 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 58 | 58 | $580.90 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $127.60 |
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.