Seymour, John
Seymour, John was paid $57K by Medicaid between Oct 2020 and Jul 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoSEYMOUR, JOHN
EBENSBURG, PA 15931
EBENSBURG, PA 15931
33aNPI1841251741assigned 03/30/2006
33bProvider typeOptometrist
28Total paid$57K
24GClaims2,035
24DCodes billed8
24AFirst – last monthOct 2020 – Jul 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#325 of 983
Median peer was paid$20K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2020 | 30 | $312.66 | |
| 2021 | 160 | $5K | |
| 2022 | 716 | $21K | |
| 2023 | 1,058 | $30K | |
| 2024incomplete | 71 | $756.60 |
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% | 327 | 327 | $23K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30% | 269 | 269 | $17K |
| 92015 | Determination of refractive state | 15% | 803 | 802 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.6% | 265 | 265 | $5K |
| V2020 | Frames, purchases | 2.8% | 161 | 161 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.1% | 44 | 44 | $616.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 153 | 153 | $538.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | 13 | $168.00 |
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.