Vally, Shaista
Vally, Shaista was paid $337K by Medicaid between Apr 2018 and Jan 2022, across 16 billing codes. Its largest line is V2782, Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens — 26% of everything it billed.
33Billing provider infoVALLY, SHAISTA
LEXINGTON, KY 40536
LEXINGTON, KY 40536
33aNPI1619343712assigned 08/12/2015
33bProvider typeOptometrist
28Total paid$337K
24GClaims10,251
24DCodes billed16
24AFirst – last monthApr 2018 – Jan 2022
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#167 of 683
Median peer was paid$123K
This provider vs. median2.7×
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 | 104 | $630.69 | |
| 2019 | 32 | $80.88 | |
| 2020 | 2,616 | $106K | |
| 2021 | 7,422 | $229K | |
| 2022 | 77 | $675.95 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 26% | 839 | 678 | $89K |
| V2025 | Deluxe frame | 18% | 1,392 | 1,267 | $62K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 781 | 712 | $52K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 471 | 440 | $39K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.5% | 2,214 | 2,049 | $29K |
| V2760 | Scratch resistant coating, per lens | 6.4% | 1,401 | 1,250 | $22K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.7% | 1,177 | 1,055 | $19K |
| V2020 | Frames, purchases | 4.7% | 898 | 767 | $16K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.2% | 250 | 224 | $4K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 148 | 131 | $2K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 58 | 57 | $1K |
| V2730 | Special base curve, glass or plastic, per lens | <1% | 53 | 47 | $947.92 |
4 more codes
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.