WYATT WILLIAMS O.D. INC
NPI: 1528443199
· TAHLEQUAH, OK 74464
· 152W00000X
$849K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,207 |
$41K |
| 2022 |
8,118 |
$295K |
| 2023 |
8,867 |
$320K |
| 2024 |
5,392 |
$193K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
2,113 |
2,113 |
$230K |
| 92004 |
|
803 |
803 |
$105K |
| 92250 |
|
2,472 |
2,472 |
$77K |
| 92340 |
|
2,535 |
2,531 |
$77K |
| 99213 |
|
1,037 |
981 |
$72K |
| 92015 |
|
3,600 |
3,600 |
$63K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,921 |
1,909 |
$47K |
| 99203 |
|
508 |
508 |
$44K |
| 92012 |
|
485 |
483 |
$38K |
| 92082 |
|
932 |
932 |
$36K |
| V2020 |
Vision svcs frames purchases |
2,856 |
2,853 |
$28K |
| V2100 |
Lens spher single plano 4.00 |
766 |
761 |
$18K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
399 |
396 |
$8K |
| 99214 |
|
48 |
48 |
$4K |
| 99204 |
|
15 |
15 |
$2K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
13 |
13 |
$292.95 |
| V2784 |
Lens polycarb or equal |
3,081 |
3,061 |
$0.00 |