Zemken, Shauna
Zemken, Shauna was paid $41K by Medicaid between Jan 2018 and Aug 2022, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoZEMKEN, SHAUNA
JOHNSTOWN, NY 12095
JOHNSTOWN, NY 12095
33aNPI1568423861assigned 03/28/2006
33bProvider typeOptometrist
28Total paid$41K
24GClaims3,018
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#746 of 1,605
Median peer was paid$29K
This provider vs. median1.4×
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 | 714 | $9K | |
| 2019 | 1,319 | $19K | |
| 2020 | 513 | $8K | |
| 2021 | 371 | $3K | |
| 2022 | 101 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 266 | 266 | $11K |
| V2020 | Frames, purchases | 27% | 812 | 791 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 23% | 399 | 195 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 128 | 126 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.1% | 122 | 61 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.0% | 31 | 31 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,187 | 572 | $80.00 |
| 92015 | Determination of refractive state | 0% | 73 | 72 | $0.00 |
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.