dr. wheeler's opinions, the coal companies have paid hopkins millions of dollars. >> you have essentially become dr. no. you never find. >> i do find. >> reporter: according to records from the last 13 years, examined by abc news and the center for public integrity, of 1,573 cases dr. wheeler never found a single case that would automatically qualify a miner for benefits, not one. >> you stand by all those cases? >> absolutely. that's my opinion and i have a perfect right to my opinion. >> reporter: based on the opinions of dr. wheeler and a small circle of other expensive doctors, coal miners across appalachia, men like mack lester are fighting a losing battle to get black lung benefits. at best fewer than one in ten is successful. >> i have no idea what happens once the x-rays leave my department. >> does it matter to you? >> it would matter to me if i were wrong and no one has proven to me that i'm wrong. >> reporter: we found he's been wrong a lot in over 100 cases including that of gary fox. it was only after fox died that an autopsy proved fox had black lung. after wheeler's opinion