Cesaro, Thomas
Cesaro, Thomas was paid $80K by Medicaid between Feb 2018 and Sep 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoCESARO, THOMAS
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
33aNPI1356392484assigned 05/13/2006
33bProvider typeOptometrist
28Total paid$80K
24GClaims3,237
24DCodes billed9
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#55 of 209
Median peer was paid$24K
This provider vs. median3.3×
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 | 570 | $14K | |
| 2020 | 340 | $7K | |
| 2021 | 646 | $15K | |
| 2022 | 477 | $12K | |
| 2023 | 685 | $18K | |
| 2024incomplete | 519 | $13K |
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 | 35% | 747 | 714 | $28K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 28% | 1,006 | 489 | $23K |
| V2020 | Frames, purchases | 17% | 822 | 772 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.4% | 471 | 443 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 54 | 54 | $2K |
| 92250 | 2.5% | 58 | 58 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.4% | 37 | 37 | $2K |
| 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 | 2.1% | 29 | 28 | $2K |
| 92015 | Determination of refractive state | <1% | 13 | 13 | $205.60 |
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.