Shim, Rachel
Shim, Rachel was paid $84K by Medicaid between Jan 2023 and Jan 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoSHIM, RACHEL
ELGIN, IL 60120
ELGIN, IL 60120
33aNPI1982322723assigned 08/18/2022
33bProvider typeOptometrist
28Total paid$84K
24GClaims3,035
24DCodes billed10
24AFirst – last monthJan 2023 – Jan 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#454 of 1,069
Median peer was paid$56K
This provider vs. median1.5×
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
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 | |
|---|---|---|---|
| 2023 | 2,933 | $81K | |
| 2024incomplete | 102 | $3K |
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 | 28% | 579 | 579 | $24K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26% | 534 | 534 | $22K |
| 92015 | Determination of refractive state | 21% | 1,320 | 1,317 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 181 | 175 | $7K |
| 92250 | 8.1% | 167 | 163 | $7K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.5% | 84 | 84 | $2K |
| 92002 | 2.0% | 62 | 62 | $2K | |
| V2020 | Frames, purchases | 1.3% | 27 | 27 | $1K |
| 92025 | <1% | 54 | 54 | $826.18 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 27 | 27 | $347.22 |
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.