Fodor, Carlo
Fodor, Carlo was paid $271K by Medicaid between Oct 2021 and Dec 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoFODOR, CARLO
SEBASTIAN, FL 32958
SEBASTIAN, FL 32958
33aNPI1205020864assigned 08/28/2007
33bProvider typeOptometrist
28Total paid$271K
24GClaims14,023
24DCodes billed10
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#74 of 941
Median peer was paid$21K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2021 | 460 | $0.00 | |
| 2022 | 3,378 | $25K | |
| 2023 | 5,842 | $130K | |
| 2024incomplete | 4,343 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 40% | 1,518 | 1,163 | $107K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 855 | 640 | $61K |
| V2020 | Frames, purchases | 21% | 2,517 | 1,794 | $57K |
| 92015 | Determination of refractive state | 4.7% | 2,536 | 1,875 | $13K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.6% | 888 | 731 | $12K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.1% | 1,699 | 1,243 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.0% | 1,631 | 1,179 | $5K |
| 3072F | 1.2% | 1,097 | 925 | $3K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 337 | 235 | $590.03 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 945 | 696 | $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.