Wagoner Eye Clinic INC
Wagoner Eye Clinic INC was paid $20K by Medicaid between Jan 2018 and Nov 2019, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.
33Billing provider infoWAGONER EYE CLINIC INC
WAGONER, OK 74467
WAGONER, OK 74467
33aNPI1497826358assigned 11/13/2006
33bProvider typeOptometrist
28Total paid$20K
24GClaims790
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Optometrist providers in Oklahoma
Rank by total paid#241 of 336
Median peer was paid$113K
This provider vs. median0.2×
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 | 340 | $9K | |
| 2019 | 450 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 52% | 177 | 177 | $11K |
| 92015 | Determination of refractive state | 21% | 258 | 258 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 103 | 102 | $3K |
| V2020 | Frames, purchases | 4.6% | 101 | 100 | $938.55 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.4% | 13 | 13 | $904.31 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.1% | 27 | 27 | $626.03 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 111 | 111 | $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.
From NPPES
Who's on the registration
Authorized officialMITCHELL, JEFFREY (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.