William R. Waldron
William R. Waldron was paid $21K by Medicaid between Feb 2023 and Aug 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 42% of everything it billed.
33Billing provider infoWILLIAM R. WALDRON
YORKTOWN, VA 23693
YORKTOWN, VA 23693
33aNPI1396937983assigned 08/16/2007
33bProvider typeOptometrist
28Total paid$21K
24GClaims347
24DCodes billed4
24AFirst – last monthFeb 2023 – Aug 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#252 of 491
Median peer was paid$23K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2023 | 209 | $13K | |
| 2024incomplete | 138 | $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 | 42% | 164 | 164 | $9K |
| V2020 | Frames, purchases | 33% | 88 | 88 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 17% | 63 | 63 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.0% | 32 | 32 | $2K |
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 officialWALDRON, WILLIAM (OWNER)