Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sharon Richens MD Eye Physician & Surgeon PC

Sharon Richens MD Eye Physician & Surgeon PC was paid $187K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is V2020, Frames, purchases — 32% of everything it billed.

33Billing provider infoSHARON RICHENS MD EYE PHYSICIAN & SURGEON PC
ST GEORGE, UT 84770
33aNPI1891892063assigned 09/20/2006
33bProvider typeOphthalmology Physician
28Total paid$187K
24GClaims3,865
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Utah

Rank by total paid#8 of 62
Median peer was paid$7K
This provider vs. median27×

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$5.0K$10K$15K2018201920202021202220232024
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
2018984$61K
2019730$36K
2020402$18K
2021392$19K
2022434$28K
2023574$23K
2024incomplete349$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 32% 879 807 $59K
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 20% 322 284 $38K
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 18% 446 419 $34K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7.6% 136 127 $14K
92340 Fitting of spectacles, except for aphakia; monofocal 7.0% 480 457 $13K
92015 Determination of refractive state 6.7% 1,235 1,139 $13K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.6% 168 152 $9K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.7% 65 56 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 32 29 $2K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 55 44 $2K
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% 31 24 $698.18
92134 <1% 16 12 $50.79

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.

From NPPES

Who's on the registration

Authorized officialCLAYTON, KELLY (ADMINISTRATOR)