Shields, Charles
Shields, Charles was paid $623K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.
33Billing provider infoSHIELDS, CHARLES
KNOXVILLE, TN 37922
KNOXVILLE, TN 37922
33aNPI1114085859assigned 12/05/2006
33bProvider typeOptometrist
28Total paid$623K
24GClaims25,599
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#41 of 698
Median peer was paid$19K
This provider vs. median33×
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 | 2,447 | $84K | |
| 2019 | 2,718 | $65K | |
| 2020 | 2,755 | $78K | |
| 2021 | 3,465 | $86K | |
| 2022 | 4,252 | $93K | |
| 2023 | 5,791 | $124K | |
| 2024incomplete | 4,171 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 2,869 | 2,582 | $145K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 20% | 3,899 | 3,380 | $128K |
| 92015 | Determination of refractive state | 19% | 4,197 | 3,759 | $118K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 4,812 | 3,736 | $88K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 998 | 927 | $66K |
| V2020 | Frames, purchases | 5.4% | 4,417 | 3,527 | $34K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.5% | 2,394 | 2,107 | $22K |
| 92250 | 2.1% | 408 | 370 | $13K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.6% | 1,402 | 1,231 | $10K |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 135 | 129 | $408.20 |
| V2781 | Progressive lens, per lens | <1% | 53 | 50 | $250.00 |
| 2026F | 0% | 15 | 15 | $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.