Gianfortune, Susan
Gianfortune, Susan was paid $18K by Medicaid between Aug 2020 and Aug 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 65% of everything it billed.
33Billing provider infoGIANFORTUNE, SUSAN
WEST HEMPSTEAD, NY 11552
WEST HEMPSTEAD, NY 11552
33aNPI1053445965assigned 03/15/2007
33bProvider typeOptometrist
28Total paid$18K
24GClaims510
24DCodes billed4
24AFirst – last monthAug 2020 – Aug 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#897 of 1,605
Median peer was paid$29K
This provider vs. median0.6×
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 | 93 | $2K | |
| 2021 | 197 | $7K | |
| 2022 | 84 | $4K | |
| 2023 | 69 | $3K | |
| 2024incomplete | 67 | $2K |
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 | 65% | 219 | 212 | $12K |
| V2020 | Frames, purchases | 17% | 159 | 158 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16% | 118 | 118 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.2% | 14 | 14 | $210.00 |
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.