Shams, Nicole
Shams, Nicole was paid $64K by Medicaid between Oct 2019 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 64% of everything it billed.
33Billing provider infoSHAMS, NICOLE
REDMOND, WA 98052
REDMOND, WA 98052
33aNPI1942582440assigned 09/12/2011
33bProvider typeOptometrist
28Total paid$64K
24GClaims2,478
24DCodes billed6
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#186 of 565
Median peer was paid$23K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2019 | 68 | $960.02 | |
| 2020 | 516 | $15K | |
| 2021 | 658 | $20K | |
| 2022 | 352 | $13K | |
| 2023 | 628 | $13K | |
| 2024incomplete | 256 | $3K |
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 | 64% | 754 | 752 | $41K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 543 | 517 | $9K |
| 92015 | Determination of refractive state | 12% | 997 | 995 | $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 | 4.4% | 25 | 25 | $3K |
| 92370 | 3.0% | 130 | 119 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.8% | 29 | 29 | $1K |
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.