S. Gabriel Respicio, O.D. a Professional Corporation
S. Gabriel Respicio, O.D. a Professional Corporation was paid $27K by Medicaid between Jan 2018 and Feb 2020, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 51% of everything it billed.
33Billing provider infoS. GABRIEL RESPICIO, O.D. A PROFESSIONAL CORPORATION
HERCULES, CA 94547
HERCULES, CA 94547
33aNPI1144339888assigned 08/29/2006
33bProvider typeOptometrist
28Total paid$27K
24GClaims1,434
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#896 of 1,899
Median peer was paid$23K
This provider vs. median1.2×
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 | 331 | $5K | |
| 2019 | 835 | $17K | |
| 2020 | 268 | $5K |
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 | 51% | 291 | 291 | $14K |
| 92015 | Determination of refractive state | 17% | 576 | 576 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 193 | 192 | $4K |
| V2020 | Frames, purchases | 15% | 195 | 193 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.8% | 14 | 14 | $484.94 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 38 | 27 | $314.16 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 127 | 63 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialRESPICIO, S. (PRESIDENT)