Calixte, Mark
Calixte, Mark was paid $117K by Medicaid between Jul 2023 and Dec 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 infoCALIXTE, MARK
CROMWELL, CT 06416
CROMWELL, CT 06416
33aNPI1407460033assigned 09/01/2020
33bProvider typeOptometrist
28Total paid$117K
24GClaims2,994
24DCodes billed6
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#174 of 340
Median peer was paid$125K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2023 | 999 | $40K | |
| 2024incomplete | 1,995 | $77K |
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% | 757 | 704 | $43K |
| 92015 | Determination of refractive state | 23% | 711 | 708 | $27K |
| 92250 | 20% | 565 | 554 | $24K | |
| 92285 | 13% | 671 | 653 | $15K | |
| 92081 | 6.6% | 276 | 272 | $8K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 14 | 14 | $736.68 |
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.