Wilson, Mary
Wilson, Mary was paid $422K by Medicaid between Jan 2018 and Nov 2021, across 13 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 29% of everything it billed.
33Billing provider infoWILSON, MARY
MOBILE, AL 36695
MOBILE, AL 36695
33aNPI1396090163assigned 07/18/2012
33bProvider typeOptometrist
28Total paid$422K
24GClaims11,985
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#57 of 346
Median peer was paid$59K
This provider vs. median7.2×
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 | 2,958 | $126K | |
| 2019 | 4,426 | $127K | |
| 2020 | 2,646 | $97K | |
| 2021 | 1,955 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 29% | 1,721 | 1,670 | $120K |
| 92015 | Determination of refractive state | 25% | 2,558 | 2,513 | $108K |
| V2020 | Frames, purchases | 18% | 2,284 | 2,229 | $78K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.7% | 1,439 | 1,393 | $41K |
| 92002 | 8.7% | 558 | 547 | $37K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.4% | 1,965 | 1,915 | $31K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.3% | 56 | 55 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 40 | 40 | $1K |
| 92341 | <1% | 55 | 53 | $715.52 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 366 | 357 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 67 | 60 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 607 | 593 | $0.00 |
1 more codes
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 269 | $0.00 |
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.