Caruso, Mark
Caruso, Mark was paid $54K by Medicaid between May 2019 and Sep 2023, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoCARUSO, MARK
SUNRISE, FL 33351
SUNRISE, FL 33351
33aNPI1306389739assigned 12/03/2016
33bProvider typeOptometrist
28Total paid$54K
24GClaims4,216
24DCodes billed12
24AFirst – last monthMay 2019 – Sep 2023
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#337 of 941
Median peer was paid$21K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2019 | 560 | $3K | |
| 2020 | 175 | $304.50 | |
| 2021 | 450 | $6K | |
| 2022 | 1,812 | $29K | |
| 2023 | 1,219 | $16K |
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 | 41% | 765 | 719 | $23K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 34% | 551 | 474 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 186 | 177 | $10K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.9% | 28 | 28 | $2K |
| V2020 | Frames, purchases | 2.0% | 528 | 505 | $1K |
| 92015 | Determination of refractive state | <1% | 959 | 899 | $220.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 834 | 781 | $105.50 |
| V2756 | Eye glass case | 0% | 16 | 16 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 56 | 55 | $0.00 |
| 92342 | 0% | 16 | 16 | $0.00 | |
| V2025 | Deluxe frame | 0% | 264 | 240 | $0.00 |
| 2021F | 0% | 13 | 13 | $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.