Caruso, Mark

Caruso, Mark was paid $228K by Medicaid between Jan 2018 and Apr 2022, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoCARUSO, MARK
PAINTSVILLE, KY 41240

33aNPI1134298896assigned 11/07/2006

33bProvider typeInternal Medicine Physician

28Total paid$228K

24GClaims10,646

24DCodes billed12

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Internal Medicine Physician providers in Kentucky

Rank by total paid#82 of 231

Median peer was paid$77K

This provider vs. median3.0×

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	2,713	$65K
2019	3,136	$65K
2020	2,461	$44K
2021	1,966	$41K
2022	370	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	67%	5,431	4,406	$153K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	19%	1,549	1,326	$44K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	4.3%	1,095	939	$10K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.4%	91	90	$8K
99490	Ccm add 20min	1.8%	1,082	958	$4K
94010		1.6%	232	211	$4K
90756		<1%	128	125	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	72	72	$1K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	820	726	$963.84
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	92	84	$897.44
99483	Prolong outpt/office vis	<1%	33	29	$173.76
G0008	Administration of influenza virus vaccine	0%	21	21	$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.