Michael P De Carlo Optometrist INC
Michael P De Carlo Optometrist INC was paid $86K by Medicaid between Jan 2019 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.
33Billing provider infoMICHAEL P DE CARLO OPTOMETRIST INC
PLACENTIA, CA 92870
PLACENTIA, CA 92870
33aNPI1336351998assigned 05/04/2007
33bProvider typeLow Vision Rehabilitation Optometrist
28Total paid$86K
24GClaims6,909
24DCodes billed6
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Low Vision Rehabilitation Optometrist providers in California
Rank by total paid#3 of 12
Median peer was paid$4K
This provider vs. median25×
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 | 546 | $5K | |
| 2020 | 986 | $20K | |
| 2021 | 1,361 | $27K | |
| 2022 | 862 | $16K | |
| 2023 | 1,352 | $18K | |
| 2024incomplete | 1,802 | $559.01 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 37% | 1,346 | 1,335 | $32K |
| V2020 | Frames, purchases | 25% | 1,767 | 1,749 | $21K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 1,445 | 1,430 | $17K |
| 92015 | Determination of refractive state | 10% | 1,918 | 1,909 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.6% | 360 | 359 | $6K |
| 92341 | <1% | 73 | 66 | $843.44 |
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 officialDECARLO, MICHAEL (PRESIDENT)