Gaetano, H
Gaetano, H was paid $313K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoGAETANO, H
YOUNGSTOWN, OH 44511
YOUNGSTOWN, OH 44511
33aNPI1235135807assigned 06/28/2005
33bProvider typeOptometrist
28Total paid$313K
24GClaims22,364
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#113 of 1,098
Median peer was paid$41K
This provider vs. median7.6×
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 | 4,806 | $50K | |
| 2019 | 5,107 | $53K | |
| 2020 | 3,399 | $51K | |
| 2021 | 2,881 | $46K | |
| 2022 | 1,971 | $48K | |
| 2023 | 2,125 | $29K | |
| 2024incomplete | 2,075 | $36K |
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 | 35% | 2,814 | 2,760 | $109K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 1,261 | 1,228 | $49K |
| V2020 | Frames, purchases | 13% | 2,750 | 2,677 | $40K |
| 92015 | Determination of refractive state | 9.4% | 3,153 | 3,092 | $29K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.1% | 2,005 | 1,951 | $25K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.0% | 761 | 757 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.8% | 895 | 881 | $18K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.9% | 2,082 | 2,025 | $15K |
| 92341 | <1% | 126 | 123 | $3K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 115 | 113 | $1K |
| 92082 | <1% | 56 | 56 | $1K | |
| 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 | <1% | 13 | 12 | $793.68 |
10 more codes
| 92133 | <1% | 42 | $622.44 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 14 | $527.80 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 14 | $180.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,372 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 120 | $0.00 |
| 1036F | 0% | 1,492 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 1,321 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,806 | $0.00 |
| 4004F | 0% | 115 | $0.00 | |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 37 | $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.