Decarlo, John

Decarlo, John was paid $764.35 by Medicaid between Aug 2018 and Sep 2018, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoDECARLO, JOHN
BROOKFIELD, WI 53005

33aNPI1346204757assigned 04/13/2006

33bProvider typeOphthalmology Physician

28Total paid$764.35

24GClaims29

24DCodes billed2

24AFirst – last monthAug 2018 – Sep 2018

Compared with peers

Next to other Ophthalmology Physician providers in Wisconsin

Rank by total paid#33 of 43

Median peer was paid$4K

This provider vs. median0.2×

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	29	$764.35

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	56%	16	12	$431.26
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	44%	13	12	$333.09

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.