Shufelt, Heidi
Shufelt, Heidi was paid $3K by Medicaid between Jun 2019 and Jan 2023, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 54% of everything it billed.
33Billing provider infoSHUFELT, HEIDI
RACINE, WI 53406
RACINE, WI 53406
33aNPI1447200456assigned 05/11/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims1,599
24DCodes billed6
24AFirst – last monthJun 2019 – Jan 2023
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#246 of 412
Median peer was paid$7K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 310 | $44.54 | |
| 2020 | 729 | $30.00 | |
| 2021 | 138 | $100.50 | |
| 2022 | 355 | $3K | |
| 2023 | 67 | $33.50 |
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 | 54% | 391 | 373 | $2K |
| V2020 | Frames, purchases | 29% | 425 | 344 | $837.50 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14% | 115 | 109 | $401.70 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.1% | 14 | 13 | $60.30 |
| V2025 | Deluxe frame | 1.0% | 297 | 244 | $30.00 |
| 92015 | Determination of refractive state | 0% | 357 | 339 | $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.