Caldamone, Anthony

Caldamone, Anthony was paid $17K by Medicaid between Apr 2018 and Nov 2019, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 44% of everything it billed.

33Billing provider infoCALDAMONE, ANTHONY
PROVIDENCE, RI 02905

33aNPI1235197278assigned 05/01/2006

33bProvider typeUrology Physician

28Total paid$17K

24GClaims232

24DCodes billed4

24AFirst – last monthApr 2018 – Nov 2019

Compared with peers

Next to other Urology Physician providers in Rhode Island

Rank by total paid#4 of 19

Median peer was paid$4K

This provider vs. median4.8×

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	186	$12K
2019	46	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	44%	73	69	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	129	122	$6K
76770		14%	17	13	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.9%	13	13	$988.38

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.