Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOHN CAPINO, MD PC

NPI: 1881891885 · LOWELL, MA 01850 · Optometrist · NPI assigned 07/02/2007

$2.66M
Total Medicaid Paid
99,515
Total Claims
92,546
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAPINO, JOHN (PRESIDENT)
NPI Enumeration Date07/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 17,359 $523K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 21,413 18,176 $600K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,897 8,826 $387K
92083 10,792 10,101 $290K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,324 4,296 $223K
92250 9,208 8,516 $208K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,965 2,941 $200K
92015 Determination of refractive state 14,424 14,273 $178K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,174 3,109 $122K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,154 1,151 $114K
92341 2,953 2,938 $102K
92285 5,471 4,942 $61K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 568 568 $45K
92133 2,257 1,770 $27K
92134 2,040 1,575 $24K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 107 105 $20K
92226 1,376 1,365 $19K
92020 680 679 $8K
92201 725 723 $7K
76514 1,318 1,026 $6K
V2025 Deluxe frame 331 273 $4K
V2020 Frames, purchases 26 26 $3K
76519 159 95 $2K
92225 110 110 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 218 207 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 269 233 $973.80
92060 13 13 $439.34
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 32 26 $358.86
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 725 723 $0.00
1124F 309 308 $0.00
2022F 133 131 $0.00
2027F 231 226 $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 49 49 $0.00
M1225 Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level 187 186 $0.00
5010F 53 53 $0.00
0517F 52 52 $0.00
G8785 Blood pressure reading not documented, reason not given 16 16 $0.00
G9905 Patient not screened for tobacco use 16 16 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 46 46 $0.00
M1223 Glaucoma plan of care documented 190 189 $0.00
2023F 185 185 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,043 1,037 $0.00
1036F 1,059 1,050 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 52 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 120 119 $0.00
V2744 Tint, photochromatic, per lens 13 13 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 32 32 $0.00