Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Riggs, John

Riggs, John was paid $3K by Medicaid between Jan 2018 and Aug 2021, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.

33Billing provider infoRIGGS, JOHN
CARLSBAD, CA 92009
33aNPI1952349417assigned 06/04/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims2,681
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#1,392 of 1,899
Median peer was paid$23K
This provider vs. median0.1×

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$200$400$6002018201920202021202220232024
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
2018577$253.51
2019830$315.79
2020465$860.56
2021809$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 43% 295 294 $1K
V2020 Frames, purchases 25% 650 649 $718.15
92340 Fitting of spectacles, except for aphakia; monofocal 18% 592 592 $521.28
92015 Determination of refractive state 13% 831 829 $366.86
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2.6% 214 213 $76.86
2023F 0% 87 87 $0.00
3072F 0% 12 12 $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.