Sheridan, Donise
Sheridan, Donise was paid $554K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.
33Billing provider infoSHERIDAN, DONISE
MAYFIELD, KY 42066
MAYFIELD, KY 42066
33aNPI1457325565assigned 02/15/2006
33bProvider typeOptometrist
28Total paid$554K
24GClaims24,126
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#81 of 683
Median peer was paid$123K
This provider vs. median4.5×
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 | 2,813 | $81K | |
| 2019 | 1,755 | $47K | |
| 2020 | 2,154 | $48K | |
| 2021 | 4,523 | $89K | |
| 2022 | 4,812 | $113K | |
| 2023 | 4,487 | $97K | |
| 2024incomplete | 3,582 | $79K |
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 | 44% | 3,646 | 3,526 | $241K |
| V2020 | Frames, purchases | 20% | 4,828 | 4,079 | $112K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 3,088 | 2,981 | $87K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.2% | 2,805 | 1,986 | $35K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.7% | 238 | 220 | $21K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.6% | 1,185 | 904 | $14K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.1% | 2,399 | 2,013 | $12K |
| 92015 | Determination of refractive state | 1.2% | 3,866 | 3,710 | $7K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 451 | 280 | $7K |
| V2755 | U-v lens, per lens | 1.1% | 1,052 | 965 | $6K |
| 92341 | 1.1% | 224 | 220 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 103 | 92 | $4K |
5 more codes
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.