Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Shirley, Matthew

Shirley, Matthew was paid $9K by Medicaid between Oct 2020 and Jun 2024, across 4 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 49% of everything it billed.

33Billing provider infoSHIRLEY, MATTHEW
INDIANA, PA 15701
33aNPI1568877298assigned 06/20/2014
33bProvider typeOptometrist
28Total paid$9K
24GClaims244
24DCodes billed4
24AFirst – last monthOct 2020 – Jun 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#612 of 983
Median peer was paid$20K
This provider vs. median0.4×

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

$0$1.0K$2.0K2018201920202021202220232024
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
2020130$4K
202152$2K
202212$360.00
202338$2K
2024incomplete12$938.95
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 49% 146 146 $4K
V2020 Frames, purchases 38% 57 57 $3K
S0621 Routine ophthalmological examination including refraction; established patient 8.8% 26 26 $780.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4.2% 15 15 $369.32

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.