Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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San Pablo Optometric Center, INC.

San Pablo Optometric Center, INC. was paid $85K by Medicaid between Jan 2018 and Apr 2022, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 26% of everything it billed.

33Billing provider infoSAN PABLO OPTOMETRIC CENTER, INC.
SAN PABLO, CA 94806
33aNPI1184882250assigned 05/27/2008
33bProvider typeOptometrist
28Total paid$85K
24GClaims4,494
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#571 of 1,899
Median peer was paid$23K
This provider vs. median3.8×

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$5.0K$10K2018201920202021202220232024
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
20181,381$27K
2019582$10K
2020731$14K
20211,365$26K
2022435$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 26% 607 606 $22K
V2020 Frames, purchases 26% 1,137 1,134 $22K
92340 Fitting of spectacles, except for aphakia; monofocal 24% 1,028 1,025 $20K
92015 Determination of refractive state 12% 1,455 1,453 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11% 267 267 $10K

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 officialANAYA, JUAN (OWNER/OPTOMETRIST)