Carcamo, Mario
Carcamo, Mario was paid $992K by Medicaid between Sep 2018 and Dec 2024, across 36 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoCARCAMO, MARIO
MIAMI, FL 33186
MIAMI, FL 33186
33aNPI1063594364assigned 10/19/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$992K
24GClaims54,878
24DCodes billed36
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Florida
Rank by total paid#1 of 27
Median peer was paid$7K
This provider vs. median139×
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 | 757 | $13K | |
| 2019 | 9,437 | $79K | |
| 2020 | 6,913 | $62K | |
| 2021 | 846 | $20K | |
| 2022 | 9,497 | $174K | |
| 2023 | 14,183 | $308K | |
| 2024incomplete | 13,245 | $337K |
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 | 36% | 4,993 | 4,481 | $357K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 4,210 | 3,716 | $254K |
| V2020 | Frames, purchases | 9.0% | 6,697 | 6,291 | $89K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.3% | 896 | 669 | $43K |
| 92060 | 4.3% | 1,372 | 1,212 | $42K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 646 | 584 | $28K |
| 92250 | 2.4% | 3,176 | 2,519 | $24K | |
| 92015 | Determination of refractive state | 2.3% | 6,881 | 5,749 | $23K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.2% | 1,867 | 1,751 | $22K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.8% | 4,143 | 3,243 | $18K |
| 76512 | 1.3% | 1,488 | 1,205 | $13K | |
| 92100 | 1.3% | 81 | 65 | $13K |
24 more codes
| 92341 | 1.0% | 763 | $10K | |
| 92285 | 1.0% | 3,048 | $10K | |
| 92286 | <1% | 1,660 | $10K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,013 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 1,798 | $6K |
| 92025 | <1% | 931 | $6K | |
| 92083 | <1% | 284 | $6K | |
| 92273 | <1% | 121 | $4K | |
| 76514 | <1% | 1,280 | $3K | |
| 92133 | <1% | 142 | $956.49 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 137 | $822.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 95 | $792.21 |
| 92201 | <1% | 136 | $534.24 | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 32 | $190.90 |
| V2755 | U-v lens, per lens | <1% | 36 | $180.00 |
| V2025 | Deluxe frame | <1% | 170 | $110.00 |
| 92283 | <1% | 2,788 | $81.00 | |
| 92342 | <1% | 707 | $79.87 | |
| V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | <1% | 15 | $45.00 |
| 92310 | <1% | 16 | $35.00 | |
| V2756 | Eye glass case | 0% | 704 | $0.00 |
| 92020 | 0% | 67 | $0.00 | |
| G0117 | Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist | 0% | 1,241 | $0.00 |
| 2022F | 0% | 1,244 | $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.