Woolner, Timothy
Woolner, Timothy was paid $210K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoWOOLNER, TIMOTHY
ILION, NY 13357
ILION, NY 13357
33aNPI1497988059assigned 08/31/2009
33bProvider typeOptometrist
28Total paid$210K
24GClaims10,169
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#384 of 1,605
Median peer was paid$29K
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 | 1,150 | $19K | |
| 2019 | 1,726 | $32K | |
| 2020 | 681 | $11K | |
| 2021 | 168 | $3K | |
| 2022 | 2,155 | $51K | |
| 2023 | 2,195 | $50K | |
| 2024incomplete | 2,094 | $45K |
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 | 33% | 1,326 | 1,300 | $69K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 785 | 766 | $52K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 20% | 2,139 | 1,053 | $43K |
| 92250 | 10% | 504 | 491 | $21K | |
| V2020 | Frames, purchases | 9.4% | 1,735 | 1,695 | $20K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.4% | 148 | 72 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 21 | 21 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,511 | 1,701 | $920.00 |
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.