Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Maryville › NPI 1871942441

Mulvihill, Shane

Mulvihill, Shane was paid $10K by Medicaid between Dec 2021 and Dec 2024, across 7 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 32% of everything it billed.

33Billing provider infoMULVIHILL, SHANE
MARYVILLE, TN 37801
33aNPI1871942441assigned 06/06/2016
33bProvider typeOptometrist
28Total paid$10K
24GClaims1,219
24DCodes billed7
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#405 of 698
Median peer was paid$19K
This provider vs. median0.5×

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$500$1.0K$1.5K2018201920202021202220232024
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
202126$611.00
2022226$2K
2023482$4K
2024incomplete485$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 32% 234 231 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 31% 83 81 $3K
92015 Determination of refractive state 23% 347 338 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 39 38 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 0% 237 235 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 38 37 $0.00
V2020 Frames, purchases 0% 241 240 $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.