Shelley, Peter
Shelley, Peter was paid $133K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.
33Billing provider infoSHELLEY, PETER
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
33aNPI1093808891assigned 10/02/2006
33bProvider typeSpecialist
28Total paid$133K
24GClaims3,065
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Specialist providers in Washington
Rank by total paid#38 of 96
Median peer was paid$49K
This provider vs. median2.7×
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 | 1,520 | $66K | |
| 2019 | 1,356 | $60K | |
| 2020 | 189 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 48% | 792 | 777 | $64K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30% | 612 | 596 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 267 | 260 | $15K |
| 92015 | Determination of refractive state | 11% | 1,394 | 1,358 | $15K |
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.