Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Shade, James

Shade, James was paid $207K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 62% of everything it billed.

33Billing provider infoSHADE, JAMES
MEBANE, NC 27302
33aNPI1740263540assigned 11/25/2005
33bProvider typeOptometrist
28Total paid$207K
24GClaims5,563
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in North Carolina

Rank by total paid#135 of 636
Median peer was paid$41K
This provider vs. median5.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018636$20K
2019760$24K
2020289$10K
2021732$24K
20221,150$48K
20231,037$41K
2024incomplete959$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 62% 1,389 1,184 $129K
92340 Fitting of spectacles, except for aphakia; monofocal 16% 1,764 1,511 $33K
S0621 Routine ophthalmological examination including refraction; established patient 16% 418 399 $32K
92370 6.1% 1,980 1,726 $13K
92341 <1% 12 12 $210.18

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.