Managed care
Michael Waggoner Od PA
Michael Waggoner Od PA was paid $39K by Medicaid between Jan 2018 and Nov 2018, across 4 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 36% of everything it billed.
33Billing provider infoMICHAEL WAGGONER OD PA
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
33aNPI1992021190assigned 04/13/2010
33bProvider typeHealth Maintenance Organization
28Total paid$39K
24GClaims916
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Health Maintenance Organization providers in Arkansas
Rank by total paid#3 of 5
Median peer was paid$39K
This provider vs. median1.0×
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 | 916 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 36% | 293 | 287 | $14K |
| 92015 | Determination of refractive state | 35% | 423 | 413 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 118 | 117 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 82 | 78 | $6K |
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 officialWAGGONER, MICHAEL (OWNER)