Castagna, Wayne
Castagna, Wayne was paid $332K by Medicaid between Jan 2018 and Dec 2023, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.
33Billing provider infoCASTAGNA, WAYNE
TOLLAND, CT 06084
TOLLAND, CT 06084
33aNPI1356327407assigned 12/21/2005
33bProvider typeOptometrist
28Total paid$332K
24GClaims12,010
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#115 of 340
Median peer was paid$125K
This provider vs. median2.7×
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 | 1,120 | $29K | |
| 2019 | 1,478 | $41K | |
| 2020 | 2,069 | $63K | |
| 2021 | 2,801 | $80K | |
| 2022 | 2,192 | $66K | |
| 2023 | 2,350 | $53K |
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 | 22% | 1,865 | 1,749 | $74K |
| 92015 | Determination of refractive state | 22% | 2,529 | 2,367 | $73K |
| V2020 | Frames, purchases | 13% | 1,699 | 1,554 | $42K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.3% | 1,439 | 1,330 | $28K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.3% | 1,783 | 958 | $28K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 7.3% | 915 | 846 | $24K |
| 92250 | 6.8% | 624 | 599 | $22K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.0% | 352 | 338 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 309 | 281 | $9K |
| 92082 | 1.7% | 167 | 160 | $6K | |
| 92025 | <1% | 174 | 168 | $3K | |
| 92370 | <1% | 110 | 108 | $2K |
3 more codes
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.