Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mcclure, Wayne

Mcclure, Wayne was paid $254K by Medicaid between Jan 2018 and Mar 2022, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.

33Billing provider infoMCCLURE, WAYNE
LAKE CHARLES, LA 70601
33aNPI1669480877assigned 08/03/2006
33bProvider typeOptometrist
28Total paid$254K
24GClaims13,073
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Optometrist providers in Louisiana

Rank by total paid#194 of 442
Median peer was paid$199K
This provider vs. median1.3×

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$10K$15K2018201920202021202220232024
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
20185,589$119K
20195,411$94K
20201,568$37K
2021197$2K
2022308$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 41% 1,782 1,561 $103K
V2020 Frames, purchases 18% 3,858 3,314 $47K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15% 3,366 2,952 $38K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 11% 2,158 1,814 $29K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 7.6% 422 352 $19K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3.5% 770 650 $9K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 1.7% 306 274 $4K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 134 115 $2K
V2799 Vision item or service, miscellaneous <1% 94 94 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 13 13 $1K
92015 Determination of refractive state <1% 170 144 $345.19

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.