Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Shearer, Thea

Shearer, Thea was paid $260K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.

33Billing provider infoSHEARER, THEA
RICHMOND, KY 40475
33aNPI1073514204assigned 08/10/2005
33bProvider typeOptometrist
28Total paid$260K
24GClaims12,072
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#215 of 683
Median peer was paid$123K
This provider vs. median2.1×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,324$34K
20191,777$39K
20201,284$28K
20212,183$41K
20221,776$37K
20232,153$44K
2024incomplete1,575$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 36% 1,446 1,388 $94K
92340 Fitting of spectacles, except for aphakia; monofocal 20% 1,995 1,896 $53K
V2020 Frames, purchases 19% 2,218 2,000 $48K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 8.2% 997 921 $21K
V2784 Lens, polycarbonate or equal, any index, per lens 5.1% 2,089 1,871 $13K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4.7% 566 528 $12K
V2760 Scratch resistant coating, per lens 3.2% 1,766 1,650 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.9% 64 56 $5K
92015 Determination of refractive state 1.8% 904 870 $5K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 13 12 $204.80
99072 0% 14 13 $0.00

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.