Spaeth, John
Spaeth, John was paid $14K by Medicaid between Sep 2020 and Oct 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.
33Billing provider infoSPAETH, JOHN
YORBA LINDA, CA 92887
YORBA LINDA, CA 92887
33aNPI1033114814assigned 06/17/2005
33bProvider typeOptometrist
28Total paid$14K
24GClaims929
24DCodes billed5
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,089 of 1,899
Median peer was paid$23K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 119 | $2K | |
| 2021 | 395 | $8K | |
| 2022 | 114 | $2K | |
| 2023 | 183 | $2K | |
| 2024incomplete | 118 | $71.55 |
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 | 53% | 223 | 223 | $7K |
| V2020 | Frames, purchases | 28% | 207 | 206 | $4K |
| 92015 | Determination of refractive state | 17% | 473 | 473 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.8% | 13 | 13 | $252.07 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | 13 | $35.50 |
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.