Scott Rufolo, O.D., P.C.
Scott Rufolo, O.D., P.C. was paid $348K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoSCOTT RUFOLO, O.D., P.C.
PLAINFIELD, NJ 07060
PLAINFIELD, NJ 07060
33aNPI1235156662assigned 07/15/2006
33bProvider typeOptometrist
28Total paid$348K
24GClaims15,995
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#33 of 599
Median peer was paid$2K
This provider vs. median193×
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 | 3,389 | $98K | |
| 2019 | 3,431 | $84K | |
| 2020 | 2,715 | $58K | |
| 2021 | 2,848 | $57K | |
| 2022 | 1,108 | $14K | |
| 2023 | 1,530 | $25K | |
| 2024incomplete | 974 | $12K |
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 | 27% | 4,066 | 4,008 | $93K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 19% | 1,430 | 1,245 | $66K |
| V2020 | Frames, purchases | 11% | 2,110 | 1,904 | $38K |
| 92225 | 7.6% | 905 | 614 | $26K | |
| 92250 | 6.6% | 615 | 610 | $23K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.8% | 1,080 | 889 | $20K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.6% | 1,576 | 1,572 | $16K |
| 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 | 4.3% | 248 | 248 | $15K |
| V2755 | U-v lens, per lens | 3.2% | 420 | 419 | $11K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.0% | 204 | 197 | $11K |
| 92015 | Determination of refractive state | 2.5% | 2,267 | 2,260 | $9K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | 2.4% | 410 | 410 | $8K |
6 more codes
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.2% | 343 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $2K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 14 | $1K |
| 92201 | <1% | 38 | $816.53 | |
| 92020 | <1% | 14 | $224.00 | |
| 2022F | 0% | 216 | $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.
From NPPES
Who's on the registration
Authorized officialRUFOLO, SCOTT (PRESIDENT)