John R Prewett O D INC
John R Prewett O D INC was paid $4.45M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 18% of everything it billed.
33Billing provider infoJOHN R PREWETT O D INC
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1548308489assigned 02/02/2007
33bProvider typeOptometrist
28Total paid$4.45M
24GClaims174,476
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#9 of 1,899
Median peer was paid$23K
This provider vs. median197×
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 | 24,746 | $836K | |
| 2019 | 25,464 | $866K | |
| 2020 | 19,248 | $550K | |
| 2021 | 20,973 | $461K | |
| 2022 | 26,104 | $572K | |
| 2023 | 28,510 | $570K | |
| 2024incomplete | 29,431 | $599K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 18% | 9,433 | 9,337 | $816K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 16% | 29,165 | 26,185 | $724K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 15,228 | 15,223 | $644K |
| V2020 | Frames, purchases | 12% | 24,679 | 24,658 | $525K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.5% | 10,396 | 10,393 | $422K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.5% | 15,673 | 15,658 | $336K |
| 92015 | Determination of refractive state | 7.4% | 37,475 | 37,432 | $330K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.6% | 7,467 | 7,461 | $249K |
| 92250 | 2.2% | 2,680 | 2,666 | $97K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 5,424 | 4,650 | $74K |
| 92341 | 1.6% | 2,315 | 2,314 | $73K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.3% | 2,095 | 2,091 | $58K |
22 more codes
| 92002 | <1% | 990 | $36K | |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 553 | $24K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 646 | $15K |
| 92134 | <1% | 764 | $13K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 254 | $8K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 139 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 643 | $2K |
| 92202 | <1% | 38 | $1K | |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 12 | $377.06 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,193 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 2,136 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 941 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 353 | $0.00 |
| 5010F | 0% | 13 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 33 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,988 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 311 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 149 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 232 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 19 | $0.00 |
| M1220 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy | 0% | 13 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 26 | $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.
From NPPES
Who's on the registration
Authorized officialPREWETT, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| John R Prewett, Od INC | Grover Beach, CA | $208K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.