Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Con, Susana

Con, Susana was paid $130K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 57% of everything it billed.

33Billing provider infoCON, SUSANA
MONTEREY PARK, CA 91754
33aNPI1073504551assigned 11/02/2005
33bProvider typeOptometrist
28Total paid$130K
24GClaims6,999
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#455 of 1,899
Median peer was paid$23K
This provider vs. median5.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,593$17K
20191,332$28K
20201,154$24K
20211,360$32K
2022571$10K
2023713$13K
2024incomplete276$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 57% 2,001 1,955 $74K
V2020 Frames, purchases 23% 1,593 1,583 $30K
92015 Determination of refractive state 11% 2,429 2,377 $14K
92340 Fitting of spectacles, except for aphakia; monofocal 8.8% 962 962 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 14 14 $532.70

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.