Shewmake, Rachel
Shewmake, Rachel was paid $146K by Medicaid between Jan 2018 and Jun 2020, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoSHEWMAKE, RACHEL
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1568414829assigned 05/16/2006
33bProvider typeOptometrist
28Total paid$146K
24GClaims8,023
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#64 of 547
Median peer was paid$19K
This provider vs. median7.7×
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 | 4,620 | $72K | |
| 2019 | 2,945 | $64K | |
| 2020 | 458 | $10K |
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 | 41% | 1,495 | 1,280 | $59K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 978 | 835 | $41K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.2% | 613 | 435 | $12K |
| 92015 | Determination of refractive state | 8.0% | 2,453 | 2,101 | $12K |
| V2020 | Frames, purchases | 6.4% | 708 | 514 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.4% | 1,268 | 1,234 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.9% | 382 | 255 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 126 | 66 | $1K |
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.