Sheffield, Amy
Sheffield, Amy was paid $127K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 69% of everything it billed.
33Billing provider infoSHEFFIELD, AMY
DELRAN, NJ 08075
DELRAN, NJ 08075
33aNPI1366519548assigned 11/30/2006
33bProvider typeOptometrist
28Total paid$127K
24GClaims8,275
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#77 of 599
Median peer was paid$2K
This provider vs. median71×
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 | 704 | $19K | |
| 2019 | 1,009 | $16K | |
| 2020 | 949 | $14K | |
| 2021 | 1,348 | $21K | |
| 2022 | 1,503 | $20K | |
| 2023 | 1,598 | $23K | |
| 2024incomplete | 1,164 | $14K |
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 | 69% | 3,768 | 3,653 | $88K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 1,555 | 1,506 | $30K |
| 92015 | Determination of refractive state | 6.7% | 2,920 | 2,882 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 16 | 16 | $586.60 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 16 | 16 | $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.