Wadley, Caswell
Wadley, Caswell was paid $20K by Medicaid between Jan 2018 and Sep 2021, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 60% of everything it billed.
33Billing provider infoWADLEY, CASWELL
PULASKI, TN 38478
PULASKI, TN 38478
33aNPI1427088178assigned 07/04/2006
33bProvider typeOptometrist
28Total paid$20K
24GClaims568
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#341 of 698
Median peer was paid$19K
This provider vs. median1.1×
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 | 227 | $8K | |
| 2019 | 173 | $6K | |
| 2020 | 106 | $4K | |
| 2021 | 62 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 60% | 352 | 334 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 136 | 131 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 41 | 40 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.9% | 25 | 24 | $2K |
| V2020 | Frames, purchases | <1% | 14 | 13 | $195.60 |
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.