Shetler, Philip
Shetler, Philip was paid $77K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 74% of everything it billed.
33Billing provider infoSHETLER, PHILIP
LIMA, OH 45805
LIMA, OH 45805
33aNPI1427183540assigned 02/22/2007
33bProvider typeOptometrist
28Total paid$77K
24GClaims1,986
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#396 of 1,098
Median peer was paid$41K
This provider vs. median1.9×
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 | 561 | $26K | |
| 2019 | 549 | $25K | |
| 2020 | 125 | $6K | |
| 2021 | 155 | $4K | |
| 2022 | 92 | $4K | |
| 2023 | 224 | $7K | |
| 2024incomplete | 280 | $6K |
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 | 74% | 1,202 | 1,182 | $57K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 452 | 437 | $20K |
| 3072F | 0% | 332 | 329 | $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.