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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLindsey Wilson
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    Lindsey Wilson — Billing Profile & Reimbursement Data

    NPI 1033568159 · Havre, MT · Optometrist

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    Lindsey Wilson is a optometrist provider located in Havre, Montana. This profile covers 11 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLindsey Wilson
    Address416 3rd Ave
    CityHavre
    StateMT
    ZIP59501
    TaxonomyOptometrist
    NPI EnumeratedJune 9, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$43.5K
    Medicaid$1.7K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…320$70$22K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…110$30$3.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…60$60$3.3K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…80$40$3.2K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.100$20$2.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.30$70$2.2K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…20$80$1.8K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…80$20$1.6K
    83861The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.70$20$1.5K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.10$110$1.2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698410212050$490$78.1K
    9201456170190$80$22.7K
    9213476160100$30$7.8K
    992131,0771,73090$50$7.2K
    9200410215040$80$4.4K
    68761152020$110$4.3K
    920834313050$40$3.5K
    922507412050$20$2.2K
    921335014050$20$2K
    992126954030$30$1.8K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.20$40$650
    V2020Frames, purchases40$20$640
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens10$20$240
    V2784Lens, polycarbonate or equal, any index, per lens10$10$180
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.50$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Montana median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.113120440$110$96K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.1141301,300$20$37K
    V2020Frames, purchases51050$10$2.7K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens31070$1$480
    V2784Lens, polycarbonate or equal, any index, per lens31020$1$100

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lindsey Wilson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Diana LeitnerKSOphthalmology Physician$2.1M$0
    Nicole BeharryOHRetina Specialist (Ophthalmology) Physician$558.9K$0
    Donald StephensOHRetina Specialist (Ophthalmology) Physician$405.2K$11.8K
    James JacoKYOptometrist$69K$304.6K
    Havre Optometric Clinic, PllpMTOptometrist$0$339.5K
    Joe EllisKYOptometrist$85.9K$202.8K
    Kenneth HallKYOptometrist$105.8K$116.1K
    Larry ObieMTOptometrist$66.2K$111.5K
    Laurel MorrisKYOptometrist$36.5K$138.7K
    Brian HusemanKYOptometrist$94.4K$13.9K

    Nearby Providers

    Other providers in the same ZIP code as Lindsey Wilson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Havre Day Activity Center, IncMTDevelopmentally Disabled Services Day Training Agency$0$16.6M
    Northern Montana HospitalMTClinic/Center$0$2.3M
    Lincare Inc.MTDurable Medical Equipment & Medical Supplies$0$1.5M
    Havre Public SchoolsMTLocal Education Agency (LEA)$0$1.3M
    Wheatland ManagementMTAssisted Living Facility$0$978.8K
    Northern Montana HospitalMTCritical Access Hospital$0$938.4K
    Havre Pediatric DentistryMTPediatric Dentistry$0$766.6K
    Michele HoldenMTProfessional Counselor$0$760.6K
    City Of HavreMTLand Ambulance$197.6K$489.3K
    Bear Paw Recovery CenterMTSubstance Use Disorder Rehabilitation Clinic/Center$0$638.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Montana Distribution
    Lindsey Wilson — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana
    Medicaid Revenue by Year vs. Montana Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Lindsey Wilson — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana