Retkinski, Sheldon
Retkinski, Sheldon was paid $618K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
33Billing provider infoRETKINSKI, SHELDON
REGO PARK, NY 11374
REGO PARK, NY 11374
33aNPI1144301425assigned 10/17/2006
33bProvider typeOptometrist
28Total paid$618K
24GClaims27,190
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#169 of 1,605
Median peer was paid$29K
This provider vs. median21×
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 | 4,972 | $108K | |
| 2019 | 5,475 | $107K | |
| 2020 | 2,744 | $28K | |
| 2021 | 3,669 | $75K | |
| 2022 | 3,755 | $98K | |
| 2023 | 3,628 | $103K | |
| 2024incomplete | 2,947 | $99K |
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 | 31% | 4,391 | 4,363 | $194K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14% | 5,324 | 3,126 | $85K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 1,407 | 1,402 | $74K |
| V2020 | Frames, purchases | 11% | 5,154 | 5,107 | $65K |
| 92250 | 8.2% | 1,149 | 1,143 | $51K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.9% | 1,279 | 1,228 | $49K |
| 92015 | Determination of refractive state | 4.4% | 1,407 | 1,401 | $27K |
| 92060 | 3.8% | 640 | 632 | $24K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.6% | 1,137 | 1,134 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.6% | 1,052 | 610 | $10K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.5% | 491 | 266 | $10K |
| 92310 | <1% | 27 | 27 | $3K |
8 more codes
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 156 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,021 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 71 | $2K |
| 92341 | <1% | 64 | $1K | |
| 92082 | <1% | 29 | $1K | |
| 92002 | <1% | 25 | $910.36 | |
| 92083 | <1% | 12 | $632.13 | |
| V2755 | U-v lens, per lens | 0% | 354 | $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.