Fonticoba, Albert

Fonticoba, Albert was paid $456K by Medicaid between Aug 2018 and Dec 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.

33Billing provider infoFONTICOBA, ALBERT
PHILADELPHIA, PA 19148

33aNPI1093710402assigned 06/14/2005

33bProvider typeOptometrist

28Total paid$456K

24GClaims20,462

24DCodes billed11

24AFirst – last monthAug 2018 – Dec 2024

Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#48 of 983

Median peer was paid$20K

This provider vs. median23×

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	13	$58.50
2020	1,057	$21K
2021	5,337	$114K
2022	5,073	$112K
2023	4,572	$108K
2024incomplete	4,410	$101K

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	37%	4,017	3,954	$169K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	32%	5,449	2,711	$148K
V2020	Frames, purchases	21%	3,174	3,046	$98K
92015	Determination of refractive state	2.3%	1,278	1,263	$10K
V2784	Lens, polycarbonate or equal, any index, per lens	2.0%	5,422	2,648	$9K
92340	Fitting of spectacles, except for aphakia; monofocal	1.8%	835	820	$8K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	1.4%	136	132	$6K
92250		<1%	74	74	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	52	50	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	13	13	$969.15
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	12	12	$829.85

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.