Beilby, Shawn
Beilby, Shawn was paid $246K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 56% of everything it billed.
33Billing provider infoBEILBY, SHAWN
VINTON, IA 52349
VINTON, IA 52349
33aNPI1710922414assigned 06/17/2006
33bProvider typeOptometrist
28Total paid$246K
24GClaims7,726
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#44 of 521
Median peer was paid$28K
This provider vs. median8.7×
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 | 2,378 | $81K | |
| 2019 | 1,019 | $38K | |
| 2020 | 657 | $21K | |
| 2021 | 1,144 | $29K | |
| 2022 | 1,155 | $36K | |
| 2023 | 901 | $27K | |
| 2024incomplete | 472 | $13K |
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 | 56% | 2,437 | 2,330 | $138K |
| 92250 | 14% | 876 | 821 | $34K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.7% | 262 | 251 | $21K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.9% | 586 | 517 | $19K |
| V2020 | Frames, purchases | 6.7% | 661 | 633 | $16K |
| 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 | 3.4% | 200 | 191 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.9% | 261 | 258 | $7K |
| 92015 | Determination of refractive state | <1% | 2,052 | 1,978 | $586.70 |
| 92083 | <1% | 14 | 13 | $413.52 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 13 | 13 | $351.20 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 200 | 183 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 78 | 72 | $0.00 |
1 more codes
| 1036F | 0% | 86 | $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.