Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Tompkinsville › NPI 1669070041

Wilson, Joseph

Wilson, Joseph was paid $12K by Medicaid between Aug 2021 and Nov 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 59% of everything it billed.

33Billing provider infoWILSON, JOSEPH
TOMPKINSVILLE, KY 42167
33aNPI1669070041assigned 10/16/2020
33bProvider typeOptometrist
28Total paid$12K
24GClaims467
24DCodes billed10
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#568 of 683
Median peer was paid$123K
This provider vs. median0.1×

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

$0$5.0K$10K2018201920202021202220232024
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
202114$560.00
202325$1K
2024incomplete428$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 59% 104 104 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 20 20 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13% 39 38 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 4.8% 18 18 $594.00
S0504 Single vision prescription lens (safety, athletic, or sunglass), per lens 2.5% 33 33 $311.94
S0516 Safety eyeglass frames 2.5% 19 19 $303.62
V2020 Frames, purchases 1.2% 38 19 $142.50
S9999 Sales tax <1% 33 33 $56.04
V2784 Lens, polycarbonate or equal, any index, per lens <1% 34 17 $51.00
92015 Determination of refractive state <1% 129 129 $40.44

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.