Fusselman, John
Fusselman, John was paid $48K by Medicaid between Jan 2019 and Apr 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 76% of everything it billed.
33Billing provider infoFUSSELMAN, JOHN
LONGBOAT KEY, FL 34228
LONGBOAT KEY, FL 34228
33aNPI1083711196assigned 09/20/2006
33bProvider typeOptometrist
28Total paid$48K
24GClaims3,854
24DCodes billed11
24AFirst – last monthJan 2019 – Apr 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#352 of 941
Median peer was paid$21K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2019 | 237 | $2K | |
| 2020 | 1,344 | $13K | |
| 2021 | 1,115 | $13K | |
| 2022 | 557 | $8K | |
| 2023 | 144 | $3K | |
| 2024incomplete | 457 | $10K |
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 | 76% | 557 | 510 | $36K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 577 | 520 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.2% | 46 | 39 | $3K |
| V2020 | Frames, purchases | 4.2% | 851 | 769 | $2K |
| 92015 | Determination of refractive state | 1.6% | 643 | 592 | $765.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 602 | 394 | $179.43 |
| 92341 | <1% | 25 | 25 | $135.00 | |
| 2022F | <1% | 327 | 294 | $51.13 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 108 | 99 | $0.00 |
| 92250 | 0% | 40 | 37 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 78 | 67 | $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.