Lomax, Shelly
Lomax, Shelly was paid $159K by Medicaid between Jan 2018 and May 2022, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 48% of everything it billed.
33Billing provider infoLOMAX, SHELLY
ANDERSON, SC 29621
ANDERSON, SC 29621
33aNPI1528410461assigned 07/04/2016
33bProvider typeOptometrist
28Total paid$159K
24GClaims3,676
24DCodes billed4
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#90 of 425
Median peer was paid$22K
This provider vs. median7.3×
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 | 838 | $39K | |
| 2019 | 981 | $42K | |
| 2020 | 684 | $29K | |
| 2021 | 808 | $34K | |
| 2022 | 365 | $15K |
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 | 48% | 842 | 840 | $77K |
| 92015 | Determination of refractive state | 19% | 1,299 | 1,298 | $30K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 1,312 | 1,312 | $29K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 223 | 223 | $24K |
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.