Shimizu, Keith
Shimizu, Keith was paid $167K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoSHIMIZU, KEITH
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
33aNPI1568878163assigned 07/03/2014
33bProvider typeOptometrist
28Total paid$167K
24GClaims6,349
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Nevada
Rank by total paid#78 of 373
Median peer was paid$39K
This provider vs. median4.2×
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 | 2,790 | $71K | |
| 2019 | 2,147 | $47K | |
| 2021 | 398 | $14K | |
| 2022 | 494 | $17K | |
| 2023 | 169 | $6K | |
| 2024incomplete | 351 | $12K |
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 | 32% | 1,198 | 1,182 | $54K |
| V2020 | Frames, purchases | 20% | 1,555 | 1,526 | $34K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 632 | 625 | $28K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 686 | 666 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 1,079 | 1,073 | $18K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.9% | 477 | 474 | $7K |
| 92015 | Determination of refractive state | 1.7% | 142 | 136 | $3K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 102 | 101 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 15 | 15 | $1K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 53 | 50 | $805.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 298 | 295 | $301.00 |
| V2025 | Deluxe frame | 0% | 112 | 112 | $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.