John Capino MD PC
John Capino MD PC was paid $304K by Medicaid between Jan 2018 and Dec 2019, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoJOHN CAPINO MD PC
LOWELL, MA 01850
LOWELL, MA 01850
33aNPI1760889331assigned 11/26/2014
33bProvider typeSpecialist
28Total paid$304K
24GClaims4,990
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#38 of 179
Median peer was paid$23K
This provider vs. median13×
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 | 2,110 | $133K | |
| 2019 | 2,880 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 1,184 | 1,181 | $76K |
| 92083 | 23% | 860 | 856 | $69K | |
| 92250 | 21% | 960 | 956 | $63K | |
| 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 | 10% | 287 | 285 | $31K |
| 92226 | 9.5% | 388 | 386 | $29K | |
| 92285 | 5.8% | 584 | 579 | $18K | |
| V2020 | Frames, purchases | 2.1% | 105 | 105 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 92 | 90 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 69 | 69 | $3K |
| 92133 | <1% | 125 | 62 | $2K | |
| 92015 | Determination of refractive state | <1% | 253 | 252 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | 15 | $1K |
2 more codes
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 officialCAPINO, MADELEIN (PRACTICE MANAGER)