Rufolo, Scott
Rufolo, Scott was paid $36K by Medicaid between Jan 2018 and Apr 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.
33Billing provider infoRUFOLO, SCOTT
PLAINFIELD, NJ 07060
PLAINFIELD, NJ 07060
33aNPI1225222870assigned 08/28/2007
33bProvider typeOptometrist
28Total paid$36K
24GClaims5,314
24DCodes billed17
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#161 of 599
Median peer was paid$2K
This provider vs. median20×
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 | 1,822 | $17K | |
| 2019 | 1,354 | $5K | |
| 2020 | 944 | $78.98 | |
| 2021 | 504 | $2K | |
| 2022 | 519 | $9K | |
| 2023 | 157 | $4K | |
| 2024incomplete | 14 | $44.00 |
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 | 42% | 1,281 | 1,278 | $15K |
| 92225 | 33% | 274 | 250 | $12K | |
| 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 | 8.7% | 42 | 42 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.5% | 693 | 371 | $2K |
| 92015 | Determination of refractive state | 4.2% | 430 | 428 | $2K |
| V2020 | Frames, purchases | 2.4% | 871 | 866 | $880.00 |
| 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 | 2.3% | 17 | 16 | $850.00 |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | 1.9% | 37 | 35 | $693.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 785 | 402 | $84.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 188 | 188 | $26.00 |
| V2599 | Contact lens, other type | 0% | 220 | 220 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 35 | 35 | $0.00 |
5 more codes
| 2023F | 0% | 24 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 26 | $0.00 |
| V2520 | Contact lens, hydrophilic, spherical, per lens | 0% | 288 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 81 | $0.00 |
| V2500 | Contact lens, pmma, spherical, per lens | 0% | 22 | $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.