Mallady, Shawn
Mallady, Shawn was paid $284K by Medicaid between Feb 2018 and Dec 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.
33Billing provider infoMALLADY, SHAWN
DANVILLE, IL 61832
DANVILLE, IL 61832
33aNPI1891772331assigned 12/27/2005
33bProvider typeOptometrist
28Total paid$284K
24GClaims9,587
24DCodes billed9
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#228 of 1,069
Median peer was paid$56K
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
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 | 28 | $566.78 | |
| 2019 | 900 | $23K | |
| 2020 | 1,046 | $29K | |
| 2021 | 3,464 | $100K | |
| 2022 | 842 | $26K | |
| 2023 | 2,144 | $68K | |
| 2024incomplete | 1,163 | $37K |
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 | 37% | 2,300 | 2,117 | $105K |
| 92015 | Determination of refractive state | 24% | 3,740 | 3,488 | $68K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 1,359 | 1,286 | $59K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 1,294 | 1,239 | $38K |
| 92341 | 2.1% | 206 | 176 | $6K | |
| V2020 | Frames, purchases | 1.8% | 377 | 322 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 207 | 131 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 39 | 35 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 65 | 42 | $234.33 |
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.