Shoultz, Clinton
Shoultz, Clinton was paid $17K by Medicaid between Dec 2018 and Aug 2023, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoSHOULTZ, CLINTON
PETERSBURG, IN 47567
PETERSBURG, IN 47567
33aNPI1619912599assigned 06/17/2006
33bProvider typeOptometrist
28Total paid$17K
24GClaims486
24DCodes billed6
24AFirst – last monthDec 2018 – Aug 2023
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#389 of 743
Median peer was paid$22K
This provider vs. median0.8×
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 | 17 | $276.77 | |
| 2020 | 153 | $5K | |
| 2021 | 277 | $11K | |
| 2023 | 39 | $757.03 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 67 | 54 | $5K |
| V2020 | Frames, purchases | 24% | 108 | 89 | $4K |
| 92015 | Determination of refractive state | 14% | 166 | 140 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 23 | 23 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.3% | 61 | 48 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.1% | 61 | 42 | $1K |
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.