Sheffield, David
Sheffield, David was paid $46K by Medicaid between Jan 2018 and Sep 2019, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.
33Billing provider infoSHEFFIELD, DAVID
DOTHAN, AL 36301
DOTHAN, AL 36301
33aNPI1518049980assigned 10/19/2006
33bProvider typeOptometrist
28Total paid$46K
24GClaims1,851
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#184 of 346
Median peer was paid$59K
This provider vs. median0.8×
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 | 1,030 | $24K | |
| 2019 | 821 | $22K |
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 | 53% | 449 | 432 | $25K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 24% | 670 | 632 | $11K |
| 92015 | Determination of refractive state | 12% | 665 | 630 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 67 | 65 | $5K |
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.