Cepeda, Saul
Cepeda, Saul was paid $181K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 23% of everything it billed.
33Billing provider infoCEPEDA, SAUL
UNION CITY, CA 94587
UNION CITY, CA 94587
33aNPI1073573853assigned 03/24/2006
33bProvider typeOptometrist
28Total paid$181K
24GClaims38,098
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#344 of 1,899
Median peer was paid$23K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2018 | 6,113 | $35K | |
| 2019 | 6,328 | $32K | |
| 2020 | 4,112 | $18K | |
| 2021 | 5,226 | $27K | |
| 2022 | 5,332 | $26K | |
| 2023 | 5,921 | $26K | |
| 2024incomplete | 5,066 | $16K |
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 | 23% | 5,920 | 5,912 | $41K |
| V2020 | Frames, purchases | 12% | 6,763 | 6,751 | $22K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 6,742 | 6,733 | $22K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 3,928 | 3,921 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.4% | 1,549 | 1,469 | $17K |
| 92225 | 9.0% | 614 | 390 | $16K | |
| 92015 | Determination of refractive state | 7.1% | 9,750 | 9,735 | $13K |
| 92083 | 5.1% | 564 | 563 | $9K | |
| 92201 | 2.8% | 479 | 476 | $5K | |
| 92341 | 1.8% | 631 | 631 | $3K | |
| 92020 | 1.6% | 236 | 235 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.6% | 594 | 590 | $3K |
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.