Wilkins, Justin
Wilkins, Justin was paid $160K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 41% of everything it billed.
33Billing provider infoWILKINS, JUSTIN
FRANKLIN, KY 42134
FRANKLIN, KY 42134
33aNPI1386805273assigned 06/23/2008
33bProvider typeOptometrist
28Total paid$160K
24GClaims5,541
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#290 of 683
Median peer was paid$123K
This provider vs. median1.3×
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 | 571 | $21K | |
| 2019 | 577 | $16K | |
| 2020 | 559 | $13K | |
| 2021 | 806 | $21K | |
| 2022 | 925 | $28K | |
| 2023 | 1,110 | $33K | |
| 2024incomplete | 993 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 41% | 1,400 | 1,322 | $66K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 34% | 621 | 601 | $55K |
| 92015 | Determination of refractive state | 11% | 2,567 | 2,464 | $18K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 9.3% | 325 | 320 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.4% | 55 | 55 | $4K |
| V2020 | Frames, purchases | <1% | 332 | 215 | $926.25 |
| 92002 | <1% | 14 | 14 | $723.38 | |
| S0516 | Safety eyeglass frames | <1% | 29 | 29 | $463.42 |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 29 | 29 | $261.14 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 140 | 70 | $227.00 |
| S9999 | Sales tax | <1% | 29 | 29 | $81.51 |
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.