Shermulis, John
Shermulis, John was paid $418K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 27% of everything it billed.
33Billing provider infoSHERMULIS, JOHN
CHICAGO, IL 60643
CHICAGO, IL 60643
33aNPI1336218007assigned 11/07/2006
33bProvider typeOptometrist
28Total paid$418K
24GClaims13,994
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#166 of 1,069
Median peer was paid$56K
This provider vs. median7.5×
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 | 1,327 | $60K | |
| 2019 | 1,899 | $60K | |
| 2020 | 2,708 | $82K | |
| 2021 | 2,071 | $61K | |
| 2022 | 2,202 | $58K | |
| 2023 | 1,937 | $49K | |
| 2024incomplete | 1,850 | $48K |
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 | 27% | 2,589 | 2,361 | $113K |
| 92015 | Determination of refractive state | 15% | 3,735 | 3,494 | $63K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 1,951 | 1,837 | $55K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 1,314 | 1,199 | $54K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 6.7% | 274 | 194 | $28K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.2% | 984 | 938 | $26K |
| V2020 | Frames, purchases | 5.1% | 1,310 | 1,269 | $21K |
| 92341 | 4.1% | 590 | 521 | $17K | |
| V2025 | Deluxe frame | 3.7% | 657 | 520 | $15K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.2% | 202 | 179 | $9K |
| V2599 | Contact lens, other type | 2.1% | 51 | 40 | $9K |
| 92310 | <1% | 43 | 40 | $2K |
5 more codes
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 45 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 175 | $2K |
| 92133 | <1% | 25 | $491.81 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 31 | $308.40 |
| V2781 | Progressive lens, per lens | 0% | 18 | $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.