Physician
Gonte, Sheldon
Gonte, Sheldon was paid $2.13M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 68761, — 20% of everything it billed.
33Billing provider infoGONTE, SHELDON
STERLING HEIGHTS, MI 48314
STERLING HEIGHTS, MI 48314
33aNPI1588645097assigned 11/10/2005
33bProvider typeOphthalmology Physician
28Total paid$2.13M
24GClaims41,554
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Michigan
Rank by total paid#9 of 106
Median peer was paid$51K
This provider vs. median42×
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 | 6,521 | $331K | |
| 2019 | 6,650 | $329K | |
| 2020 | 5,244 | $270K | |
| 2021 | 6,034 | $316K | |
| 2022 | 6,289 | $309K | |
| 2023 | 5,885 | $290K | |
| 2024incomplete | 4,931 | $283K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 68761 | 20% | 4,226 | 3,665 | $417K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 15% | 6,587 | 6,024 | $314K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 6,368 | 5,818 | $312K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 3,675 | 3,452 | $250K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.0% | 1,848 | 1,845 | $193K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.0% | 2,686 | 2,591 | $191K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.2% | 1,475 | 1,472 | $132K |
| 83861 | 4.3% | 4,359 | 2,965 | $90K | |
| 92250 | 3.7% | 3,401 | 3,362 | $78K | |
| 92134 | 1.5% | 1,622 | 1,599 | $33K | |
| 68760 | 1.1% | 221 | 196 | $24K | |
| 92083 | 1.1% | 649 | 649 | $23K |
11 more codes
| 92015 | Determination of refractive state | <1% | 1,698 | $19K |
| 92082 | <1% | 480 | $13K | |
| 92020 | <1% | 865 | $12K | |
| 92133 | <1% | 468 | $9K | |
| 76519 | <1% | 262 | $8K | |
| 92285 | <1% | 567 | $7K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 13 | $3K |
| 99243 | <1% | 25 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | $1K |
| 92201 | <1% | 28 | $338.46 | |
| A4263 | Permanent, long term, non-dissolvable lacrimal duct implant, each | 0% | 19 | $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.