Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Bernstein, Seth

Bernstein, Seth was paid $25K by Medicaid between Jul 2018 and Apr 2021, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.

33Billing provider infoBERNSTEIN, SETH
CORONA, CA 92882
33aNPI1881653954assigned 03/18/2006
33bProvider typeOptometrist
28Total paid$25K
24GClaims1,351
24DCodes billed5
24AFirst – last monthJul 2018 – Apr 2021
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#915 of 1,899
Median peer was paid$23K
This provider vs. median1.1×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
201896$1K
2019360$6K
2020591$11K
2021304$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 39% 259 258 $10K
V2020 Frames, purchases 23% 278 276 $6K
92015 Determination of refractive state 20% 636 626 $5K
92340 Fitting of spectacles, except for aphakia; monofocal 9.2% 122 122 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8.6% 56 56 $2K

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.