Setzer Vision LLC
Setzer Vision LLC was paid $771K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoSETZER VISION LLC
RIDGELAND, MS 39157
RIDGELAND, MS 39157
33aNPI1578713137assigned 09/19/2008
33bProvider typeOptometrist
28Total paid$771K
24GClaims12,336
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#34 of 437
Median peer was paid$91K
This provider vs. median8.5×
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 | 2,164 | $154K | |
| 2019 | 2,195 | $163K | |
| 2020 | 1,692 | $107K | |
| 2021 | 2,041 | $117K | |
| 2022 | 771 | $43K | |
| 2023 | 929 | $42K | |
| 2024incomplete | 2,544 | $146K |
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 | 40% | 2,626 | 2,587 | $310K |
| 92015 | Determination of refractive state | 25% | 6,636 | 6,478 | $195K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 1,885 | 1,857 | $186K |
| 92002 | 6.1% | 706 | 691 | $47K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.4% | 483 | 479 | $34K |
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 officialSETZER, JOHN (PRESIDENT)