Carusone, Frank
Carusone, Frank was paid $8K by Medicaid between Dec 2020 and Oct 2023, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 82% of everything it billed.
33Billing provider infoCARUSONE, FRANK
KNOXVILLE, TN 37912
KNOXVILLE, TN 37912
33aNPI1053764803assigned 07/18/2016
33bProvider typeOptometrist
28Total paid$8K
24GClaims427
24DCodes billed4
24AFirst – last monthDec 2020 – Oct 2023
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#429 of 698
Median peer was paid$19K
This provider vs. median0.4×
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 | 12 | $84.00 | |
| 2022 | 150 | $4K | |
| 2023 | 265 | $4K |
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 | 82% | 153 | 148 | $7K |
| V2020 | Frames, purchases | 17% | 95 | 95 | $1K |
| 92015 | Determination of refractive state | 1.0% | 166 | 162 | $84.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 13 | 13 | $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.