Charles C Wiggins Od PLLC
Charles C Wiggins Od PLLC was paid $87K by Medicaid between Jan 2018 and Jun 2022, across 19 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoCHARLES C WIGGINS OD PLLC
RALEIGH, NC 27606
RALEIGH, NC 27606
33aNPI1578989125assigned 03/06/2014
33bProvider typeOptometrist
28Total paid$87K
24GClaims17,492
24DCodes billed19
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#239 of 636
Median peer was paid$41K
This provider vs. median2.1×
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 | 4,888 | $24K | |
| 2019 | 6,175 | $203.24 | |
| 2020 | 2,719 | $15K | |
| 2021 | 2,578 | $34K | |
| 2022 | 1,132 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 34% | 3,234 | 2,503 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 5,203 | 4,015 | $27K |
| 92341 | 17% | 1,338 | 1,258 | $15K | |
| 92250 | 7.4% | 2,475 | 1,861 | $6K | |
| 92370 | 5.5% | 1,503 | 1,329 | $5K | |
| 92015 | Determination of refractive state | 4.2% | 1,226 | 1,134 | $4K |
| V2799 | Vision item or service, miscellaneous | <1% | 163 | 162 | $344.39 |
| 3284F | 0% | 152 | 152 | $0.00 | |
| 1036F | 0% | 751 | 738 | $0.00 | |
| 4177F | 0% | 62 | 61 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 81 | 78 | $0.00 |
| 3285F | 0% | 12 | 12 | $0.00 |
7 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 766 | $0.00 |
| V2020 | Frames, purchases | 0% | 27 | $0.00 |
| 2027F | 0% | 184 | $0.00 | |
| 2022F | 0% | 208 | $0.00 | |
| 5010F | 0% | 83 | $0.00 | |
| 0517F | 0% | 12 | $0.00 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 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.
From NPPES
Who's on the registration
Authorized officialWIGGINS, CHARLES (OWNER)