Capino, John

Capino, John was paid $748K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.

33Billing provider infoCAPINO, JOHN
LOWELL, MA 01850

33aNPI1730147612assigned 05/02/2006

33bProvider typeOphthalmology Physician

28Total paid$748K

24GClaims20,591

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#13 of 203

Median peer was paid$18K

This provider vs. median42×

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	3,374	$144K
2019	5,058	$178K
2020	3,386	$126K
2021	3,027	$96K
2022	1,723	$51K
2023	3,115	$128K
2024incomplete	908	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	42%	5,232	4,825	$312K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	20%	2,144	2,059	$153K
92015	Determination of refractive state	14%	8,896	8,379	$103K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	7.6%	817	816	$57K
92083		4.8%	865	865	$36K
92250		4.2%	859	859	$31K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	533	529	$26K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1.2%	194	194	$9K
92285		<1%	343	341	$7K
V2025	Deluxe frame	<1%	110	110	$6K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	31	31	$4K
V2020	Frames, purchases	<1%	189	189	$4K

5 more codes

92020		<1%	31	$603.84
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	24	$521.53
92133		<1%	14	$411.04
92201		<1%	22	$367.63
2022F		<1%	287	$0.50

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.