Wagner, Rudolph

Wagner, Rudolph was paid $20K by Medicaid between Jan 2018 and Sep 2019, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.

33Billing provider infoWAGNER, RUDOLPH
MILLBURN, NJ 07041

33aNPI1366484222assigned 06/12/2006

33bProvider typeOphthalmology Physician

28Total paid$20K

24GClaims377

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#106 of 213

Median peer was paid$20K

This provider vs. median1.0×

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	299	$12K
2019	78	$8K

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%	147	147	$12K
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	12%	23	23	$2K
92060		9.4%	56	56	$2K
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	9.3%	31	31	$2K
92225		6.6%	51	26	$1K
92226		3.8%	32	16	$766.88
92015	Determination of refractive state	1.5%	37	37	$303.14

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.