Rubsam, John
Rubsam, John was paid $80K by Medicaid between Jan 2018 and May 2024, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 41% of everything it billed.
33Billing provider infoRUBSAM, JOHN
BRANFORD, CT 06405
BRANFORD, CT 06405
33aNPI1164493391assigned 01/27/2006
33bProvider typeOptometrist
28Total paid$80K
24GClaims2,413
24DCodes billed7
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#194 of 340
Median peer was paid$125K
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 | |
|---|---|---|---|
| 2018 | 854 | $27K | |
| 2019 | 647 | $20K | |
| 2020 | 261 | $9K | |
| 2021 | 329 | $11K | |
| 2022 | 212 | $8K | |
| 2023 | 64 | $2K | |
| 2024incomplete | 46 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 41% | 1,023 | 1,012 | $33K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 397 | 390 | $20K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 485 | 477 | $10K |
| V2020 | Frames, purchases | 12% | 323 | 316 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.1% | 50 | 49 | $3K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 2.8% | 79 | 78 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.4% | 56 | 56 | $2K |
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.