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

Clarkson Optometry Midwest INC was paid $2.12M by Medicaid between Apr 2019 and Nov 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.

33Billing provider infoCLARKSON OPTOMETRY MIDWEST INC
LEBANON, KY 40033
33aNPI1366520702assigned 11/02/2006
33bProvider typeOptometrist
28Total paid$2.12M
24GClaims110,040
24DCodes billed13
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#5 of 683
Median peer was paid$123K
This provider vs. median17×

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$50K$100K2018201920202021202220232024
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
201913,977$337K
202012,650$322K
202133,695$386K
202218,103$427K
202317,806$385K
2024incomplete13,809$262K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 42% 19,644 13,720 $884K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24% 9,268 6,000 $513K
92015 Determination of refractive state 13% 33,050 22,737 $278K
V2020 Frames, purchases 9.4% 18,108 13,365 $200K
V2784 Lens, polycarbonate or equal, any index, per lens 4.4% 11,677 7,992 $92K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.1% 13,134 6,807 $86K
92340 Fitting of spectacles, except for aphakia; monofocal 2.6% 1,833 1,776 $55K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 1,522 906 $10K
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% 51 42 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 41 40 $671.51
V2755 U-v lens, per lens <1% 1,658 1,488 $562.49
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 14 12 $120.00
1 more codes
V2760 Scratch resistant coating, per lens <1% 40 $1.00

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.

From NPPES

Who's on the registration

Authorized officialWACHTER, JAMES (CMO)
Same official

Other billing entities under WACHTER, JAMES

Full network →
ProviderLocationPaid
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
Eyecare Associates, INC.Huntsville, AL$3K

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