Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Stanton, Seth

Stanton, Seth was paid $833K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.

33Billing provider infoSTANTON, SETH
NEW ORLEANS, LA 70118
33aNPI1396059739assigned 07/27/2010
33bProvider typeOptometrist
28Total paid$833K
24GClaims39,023
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Louisiana

Rank by total paid#66 of 442
Median peer was paid$199K
This provider vs. median4.2×

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

$0$10K$20K2018201920202021202220232024
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
20187,882$151K
20197,072$128K
20205,959$125K
20214,554$101K
20223,865$101K
20235,404$130K
2024incomplete4,287$96K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 31% 4,486 3,739 $262K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 27% 3,059 2,534 $221K
V2020 Frames, purchases 17% 7,301 6,110 $142K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7.8% 6,015 5,268 $65K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 6.0% 5,668 3,365 $50K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.8% 1,947 1,053 $40K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.6% 712 506 $22K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.4% 846 623 $11K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 661 512 $6K
V2025 Deluxe frame <1% 153 104 $6K
92250 <1% 159 120 $4K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 74 36 $509.55
7 more codes
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 33 $487.32
92341 <1% 53 $457.32
92227 <1% 12 $97.52
V2220 Bifocal add over 3.25d <1% 571 $1.83
1036F 0% 101 $0.00
3072F 0% 16 $0.00
92015 Determination of refractive state 0% 7,156 $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.