Seth Bernstein, O.D. & Lisa Benham, O.D., INC
Seth Bernstein, O.D. & Lisa Benham, O.D., INC was paid $16K by Medicaid between Jan 2018 and Nov 2019, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 41% of everything it billed.
33Billing provider infoSETH BERNSTEIN, O.D. & LISA BENHAM, O.D., INC
YORBA LINDA, CA 92887
YORBA LINDA, CA 92887
33aNPI1174777361assigned 11/14/2008
33bProvider typeOptometrist
28Total paid$16K
24GClaims1,180
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,047 of 1,899
Median peer was paid$23K
This provider vs. median0.7×
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 | 607 | $8K | |
| 2019 | 573 | $8K |
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 | 41% | 256 | 256 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 108 | 108 | $3K |
| 92015 | Determination of refractive state | 16% | 558 | 558 | $3K |
| V2020 | Frames, purchases | 14% | 155 | 154 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 103 | 103 | $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.
From NPPES
Who's on the registration
Authorized officialBERNSTEIN, SETH (OPTOMETRIST)