Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

Wilken, Paul

Wilken, Paul was paid $60K by Medicaid between Jan 2018 and Feb 2023, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.

33Billing provider infoWILKEN, PAUL
CELINA, OH 45822
33aNPI1376541714assigned 07/11/2005
33bProvider typeOptometrist
28Total paid$60K
24GClaims2,530
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#471 of 1,098
Median peer was paid$41K
This provider vs. median1.4×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018969$21K
2019528$11K
2020262$6K
2021414$12K
2022291$8K
202366$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27% 436 412 $16K
92015 Determination of refractive state 22% 884 832 $13K
92340 Fitting of spectacles, except for aphakia; monofocal 20% 566 536 $12K
V2020 Frames, purchases 12% 272 247 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9.9% 139 133 $6K
V2784 Lens, polycarbonate or equal, any index, per lens 8.2% 207 183 $5K
92341 1.1% 26 26 $669.25

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.