Caruso, James
Caruso, James was paid $11K by Medicaid between Jun 2018 and Apr 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 65% of everything it billed.
33Billing provider infoCARUSO, JAMES
MYRTLE BEACH, SC 29577
MYRTLE BEACH, SC 29577
33aNPI1366721110assigned 08/10/2011
33bProvider typeOptometrist
28Total paid$11K
24GClaims394
24DCodes billed4
24AFirst – last monthJun 2018 – Apr 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#248 of 425
Median peer was paid$22K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2018 | 46 | $2K | |
| 2019 | 37 | $828.47 | |
| 2021 | 111 | $4K | |
| 2022 | 59 | $2K | |
| 2023 | 123 | $2K | |
| 2024incomplete | 18 | $0.00 |
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 | 65% | 117 | 114 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 26% | 102 | 94 | $3K |
| 92015 | Determination of refractive state | 9.1% | 163 | 163 | $971.19 |
| 2022F | <1% | 12 | 12 | $0.10 |
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.