Williams, Shay
Williams, Shay was paid $132K by Medicaid between May 2018 and Dec 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.
33Billing provider infoWILLIAMS, SHAY
ROCKWOOD, TN 37854
ROCKWOOD, TN 37854
33aNPI1801969688assigned 11/17/2006
33bProvider typeOptometrist
28Total paid$132K
24GClaims4,364
24DCodes billed7
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#166 of 698
Median peer was paid$19K
This provider vs. median6.9×
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 | 206 | $5K | |
| 2019 | 652 | $23K | |
| 2020 | 679 | $19K | |
| 2021 | 690 | $19K | |
| 2022 | 788 | $24K | |
| 2023 | 817 | $25K | |
| 2024incomplete | 532 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 38% | 874 | 799 | $50K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 754 | 743 | $37K |
| 92015 | Determination of refractive state | 22% | 2,294 | 2,184 | $29K |
| 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 | 8.0% | 333 | 307 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.5% | 81 | 70 | $3K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 15 | 15 | $1K |
| 92002 | <1% | 13 | 13 | $385.00 |
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.