Caruso, Paul

Caruso, Paul was paid $34K by Medicaid between Oct 2018 and Jul 2020, across 6 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 52% of everything it billed.

33Billing provider infoCARUSO, PAUL
CAPE GIRARDEAU, MO 63701

33aNPI1417938754assigned 11/11/2005

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$34K

24GClaims947

24DCodes billed6

24AFirst – last monthOct 2018 – Jul 2020

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Missouri

Rank by total paid#31 of 51

Median peer was paid$56K

This provider vs. median0.6×

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	31	$2K
2019	574	$20K
2020	342	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	52%	647	629	$17K
99238	Hospital discharge day management, 30 minutes or less	22%	162	158	$7K
99460		15%	72	71	$5K
99242		5.6%	31	31	$2K
99222	Initial hospital care, per day, moderate complexity	3.2%	13	13	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.8%	22	13	$946.70

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.