Wuebbolt, Gordon

Wuebbolt, Gordon was paid $690K by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 21% of everything it billed.

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	9,629	$111K
2019	9,403	$102K
2020	11,913	$116K
2021	10,527	$99K
2022	9,236	$94K
2023	9,704	$98K
2024incomplete	6,988	$70K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	21%	6,978	3,435	$143K
V2020	Frames, purchases	18%	11,324	11,075	$127K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	13%	2,661	2,639	$89K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	13%	2,200	2,200	$89K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	11%	4,013	2,040	$78K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	4.9%	1,173	586	$34K
92273		3.2%	825	805	$22K
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	3.1%	848	806	$21K
95930		1.5%	346	342	$10K
S0620	Routine ophthalmological examination including refraction; new patient	1.3%	225	225	$9K
92083		1.3%	328	326	$9K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	1.2%	407	202	$8K

33 more codes

66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	1.2%	46	$8K
92134		1.0%	842	$7K
S0621	Routine ophthalmological examination including refraction; established patient	<1%	167	$7K
99213	Doctor's office visit, returning patient (routine)	<1%	457	$7K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	22,384	$6K
67028	Intravitreal injection of a pharmacologic agent	<1%	282	$6K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	170	$3K
92133		<1%	202	$3K
J9035	Injection, bevacizumab, 10 mg	<1%	106	$1K
76519		<1%	126	$1K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	<1%	44	$1K
92250		<1%	62	$625.63
92136		<1%	86	$386.55
92020		<1%	25	$136.10
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	24	$116.12
4040F		<1%	2,269	$0.05
G8482	Influenza immunization administered or previously received	<1%	530	$0.04
1036F		<1%	2,194	$0.02
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	<1%	160	$0.02
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,514	$0.01
2022F		<1%	404	$0.01
3285F		0%	302	$0.00
3284F		0%	307	$0.00
4177F		0%	26	$0.00
3072F		0%	28	$0.00
V2799	Vision item or service, miscellaneous	0%	13	$0.00
2024F		0%	387	$0.00
4004F		0%	215	$0.00
2026F		0%	380	$0.00
2027F		0%	68	$0.00
0517F		0%	99	$0.00
92015	Determination of refractive state	0%	2,141	$0.00
G9974	Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity	0%	12	$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.