Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Duncan, Wendy

Duncan, Wendy was paid $802K by Medicaid between Jan 2018 and Jul 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.

33Billing provider infoDUNCAN, WENDY
FONTANA, CA 92335
33aNPI1538152145assigned 08/30/2005
33bProvider typeOptometrist
28Total paid$802K
24GClaims38,428
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#90 of 1,899
Median peer was paid$23K
This provider vs. median36×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,742$73K
20195,515$117K
20204,586$94K
20215,751$118K
20226,775$138K
20237,709$164K
2024incomplete4,350$98K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 5,714 5,686 $202K
V2020 Frames, purchases 21% 8,733 8,691 $169K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21% 4,333 4,295 $165K
92340 Fitting of spectacles, except for aphakia; monofocal 20% 7,865 7,818 $158K
92015 Determination of refractive state 10% 10,856 10,785 $83K
92341 3.0% 864 863 $24K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 63 63 $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.