John Capino, MD PC
John Capino, MD PC was paid $2.66M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 23% of everything it billed.
33Billing provider infoJOHN CAPINO, MD PC
LOWELL, MA 01850
LOWELL, MA 01850
33aNPI1881891885assigned 07/02/2007
33bProvider typeOptometrist
28Total paid$2.66M
24GClaims99,515
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#10 of 629
Median peer was paid$15K
This provider vs. median177×
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 | 13,038 | $279K | |
| 2019 | 11,076 | $220K | |
| 2020 | 11,319 | $300K | |
| 2021 | 14,613 | $435K | |
| 2022 | 15,813 | $482K | |
| 2023 | 16,297 | $417K | |
| 2024incomplete | 17,359 | $523K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 21,413 | 18,176 | $600K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 8,897 | 8,826 | $387K |
| 92083 | 11% | 10,792 | 10,101 | $290K | |
| 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 | 8.4% | 4,324 | 4,296 | $223K |
| 92250 | 7.8% | 9,208 | 8,516 | $208K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.5% | 2,965 | 2,941 | $200K |
| 92015 | Determination of refractive state | 6.7% | 14,424 | 14,273 | $178K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 3,174 | 3,109 | $122K |
| 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 | 4.3% | 1,154 | 1,151 | $114K |
| 92341 | 3.8% | 2,953 | 2,938 | $102K | |
| 92285 | 2.3% | 5,471 | 4,942 | $61K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 568 | 568 | $45K |
34 more codes
| 92133 | 1.0% | 2,257 | $27K | |
| 92134 | <1% | 2,040 | $24K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 107 | $20K |
| 92226 | <1% | 1,376 | $19K | |
| 92020 | <1% | 680 | $8K | |
| 92201 | <1% | 725 | $7K | |
| 76514 | <1% | 1,318 | $6K | |
| V2025 | Deluxe frame | <1% | 331 | $4K |
| V2020 | Frames, purchases | <1% | 26 | $3K |
| 76519 | <1% | 159 | $2K | |
| 92225 | <1% | 110 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 218 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 269 | $973.80 |
| 92060 | <1% | 13 | $439.34 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 32 | $358.86 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 725 | $0.00 |
| 1124F | 0% | 309 | $0.00 | |
| 2022F | 0% | 133 | $0.00 | |
| 2027F | 0% | 231 | $0.00 | |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 49 | $0.00 |
| M1225 | Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level | 0% | 187 | $0.00 |
| 5010F | 0% | 53 | $0.00 | |
| 0517F | 0% | 52 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 16 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 16 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 46 | $0.00 |
| M1223 | Glaucoma plan of care documented | 0% | 190 | $0.00 |
| 2023F | 0% | 185 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,043 | $0.00 |
| 1036F | 0% | 1,059 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 52 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 120 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 13 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 32 | $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 officialCAPINO, JOHN (PRESIDENT)