Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Shem, Wendy

Shem, Wendy was paid $74K by Medicaid between Jul 2021 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.

33Billing provider infoSHEM, WENDY
PASADENA, CA 91106
33aNPI1821050162assigned 04/03/2006
28Total paid$74K
24GClaims6,852
24DCodes billed7
24AFirst – last monthJul 2021 – Nov 2024
Compared with peers

Next to other Corneal and Contact Management Optometrist providers in California

Rank by total paid#25 of 53
Median peer was paid$50K
This provider vs. median1.5×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
202125$86.52
2022911$6K
20232,941$17K
2024incomplete2,975$51K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 28% 1,125 1,125 $21K
V2020 Frames, purchases 25% 1,765 1,732 $18K
92340 Fitting of spectacles, except for aphakia; monofocal 20% 1,356 1,323 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11% 424 424 $8K
92015 Determination of refractive state 9.7% 1,862 1,862 $7K
92341 4.7% 217 217 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.4% 103 103 $2K

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.