Shuster, Kenneth
Shuster, Kenneth was paid $10K by Medicaid between Feb 2018 and Oct 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 80% of everything it billed.
33Billing provider infoSHUSTER, KENNETH
VENTNOR, NJ 08406
VENTNOR, NJ 08406
33aNPI1821074923assigned 12/20/2005
33bProvider typeOptometrist
28Total paid$10K
24GClaims1,875
24DCodes billed9
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#224 of 599
Median peer was paid$2K
This provider vs. median5.8×
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 | 376 | $2K | |
| 2019 | 519 | $3K | |
| 2020 | 431 | $2K | |
| 2021 | 191 | $1K | |
| 2022 | 152 | $686.40 | |
| 2023 | 131 | $344.00 | |
| 2024incomplete | 75 | $207.20 |
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 | 80% | 670 | 669 | $8K |
| 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 | 10% | 14 | 14 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.2% | 55 | 55 | $541.00 |
| 92015 | Determination of refractive state | 4.0% | 293 | 292 | $417.20 |
| V2020 | Frames, purchases | <1% | 549 | 547 | $40.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 95 | 50 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 135 | 79 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 30 | 15 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 34 | 34 | $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.