Setzer, John
Setzer, John was paid $326K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 33% of everything it billed.
33Billing provider infoSETZER, JOHN
RIDGELAND, MS 39157
RIDGELAND, MS 39157
33aNPI1528259785assigned 08/05/2007
33bProvider typeOptometrist
28Total paid$326K
24GClaims5,597
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#99 of 437
Median peer was paid$91K
This provider vs. median3.6×
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 | 1,336 | $92K | |
| 2019 | 1,179 | $97K | |
| 2020 | 795 | $37K | |
| 2021 | 842 | $34K | |
| 2022 | 532 | $22K | |
| 2023 | 374 | $17K | |
| 2024incomplete | 539 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 33% | 3,139 | 3,008 | $107K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 793 | 751 | $88K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 630 | 605 | $60K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 635 | 629 | $46K |
| 92002 | 8.1% | 400 | 398 | $26K |
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.