Spectrum Eyecare Optometry INC
Spectrum Eyecare Optometry INC was paid $1.38M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.
33Billing provider infoSPECTRUM EYECARE OPTOMETRY INC
SAN DIMAS, CA 91773
SAN DIMAS, CA 91773
33aNPI1801949573assigned 01/18/2007
33bProvider typeOptometrist
28Total paid$1.38M
24GClaims153,785
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#51 of 1,899
Median peer was paid$23K
This provider vs. median61×
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 | 23,639 | $184K | |
| 2019 | 28,964 | $240K | |
| 2020 | 21,581 | $156K | |
| 2021 | 22,733 | $201K | |
| 2022 | 19,427 | $201K | |
| 2023 | 22,089 | $196K | |
| 2024incomplete | 15,352 | $205K |
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 | 29% | 16,314 | 16,250 | $396K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 20,306 | 20,238 | $386K |
| V2020 | Frames, purchases | 12% | 11,935 | 11,870 | $162K |
| 92341 | 11% | 7,561 | 7,523 | $150K | |
| 92015 | Determination of refractive state | 10% | 26,601 | 26,503 | $144K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.5% | 3,303 | 3,282 | $48K |
| 92273 | 3.2% | 704 | 494 | $44K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.9% | 2,578 | 2,570 | $27K |
| 92002 | 1.0% | 881 | 875 | $14K | |
| 92250 | <1% | 714 | 714 | $11K | |
| 92020 | <1% | 242 | 242 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 21 | 21 | $314.60 |
39 more codes
| G8785 | Blood pressure reading not documented, reason not given | 0% | 1,283 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 3,317 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,710 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,614 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 8,406 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 2,499 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 3,253 | $0.00 |
| 2022F | 0% | 189 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 3,946 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 173 | $0.00 |
| 4040F | 0% | 4,790 | $0.00 | |
| G9989 | Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) | 0% | 527 | $0.00 |
| 3046F | 0% | 3,045 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,350 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 124 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 92 | $0.00 |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 26 | $0.00 |
| M1168 | Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | 0% | 81 | $0.00 |
| 2027F | 0% | 28 | $0.00 | |
| M1170 | Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | 0% | 42 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,752 | $0.00 |
| 1123F | 0% | 7,435 | $0.00 | |
| 1036F | 0% | 5,387 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 1,028 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,902 | $0.00 |
| 3072F | 0% | 2,039 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 1,167 | $0.00 |
| M1208 | Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 952 | $0.00 |
| 3284F | 0% | 147 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 752 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 68 | $0.00 |
| M1177 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 54 | $0.00 |
| 2023F | 0% | 151 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 19 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 132 | $0.00 |
| 99350 | Prolong home eval add 15m | 0% | 12 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 51 | $0.00 |
| M1179 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 19th birthday and before or during measurement period | 0% | 69 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 13 | $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 officialSWEARINGEN, DAVID (PRESIDENT AND CFO)