Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Shields, William

Shields, William was paid $24K by Medicaid between Jan 2018 and Apr 2022, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 27% of everything it billed.

33Billing provider infoSHIELDS, WILLIAM
SIMI VALLEY, CA 93065
33aNPI1538165303assigned 06/24/2005
33bProvider typeOptometrist
28Total paid$24K
24GClaims877
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#928 of 1,899
Median peer was paid$23K
This provider vs. median1.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018129$1K
201979$1K
2020263$8K
2021291$10K
2022115$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 27% 530 515 $6K
V2020 Frames, purchases 27% 167 165 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26% 93 91 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 46 45 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 6.5% 41 41 $2K

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.