Shelley, Timothy
Shelley, Timothy was paid $240K by Medicaid between Jan 2018 and Nov 2020, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoSHELLEY, TIMOTHY
PEKIN, IL 61554
PEKIN, IL 61554
33aNPI1699762047assigned 09/30/2005
33bProvider typeOptometrist
28Total paid$240K
24GClaims9,437
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#251 of 1,069
Median peer was paid$56K
This provider vs. median4.3×
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 | 3,967 | $98K | |
| 2019 | 2,936 | $77K | |
| 2020 | 2,534 | $65K |
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 | 35% | 1,995 | 1,917 | $83K |
| 92015 | Determination of refractive state | 24% | 3,165 | 3,037 | $56K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 1,092 | 1,050 | $47K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 831 | 776 | $24K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.3% | 846 | 797 | $13K |
| V2025 | Deluxe frame | 2.9% | 198 | 182 | $7K |
| V2020 | Frames, purchases | 2.2% | 698 | 667 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.4% | 578 | 534 | $3K |
| 92341 | <1% | 17 | 16 | $498.46 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 17 | 16 | $314.00 |
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.