Capasso, Raphael
Capasso, Raphael was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 19% of everything it billed.
33Billing provider infoCAPASSO, RAPHAEL
TRUMBULL, CT 06611
TRUMBULL, CT 06611
33aNPI1447321146assigned 11/13/2006
33bProvider typeOptometrist
28Total paid$1.18M
24GClaims32,872
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#44 of 340
Median peer was paid$125K
This provider vs. median9.5×
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 | 4,224 | $161K | |
| 2019 | 5,308 | $189K | |
| 2020 | 4,376 | $160K | |
| 2021 | 5,671 | $202K | |
| 2022 | 5,076 | $181K | |
| 2023 | 4,544 | $161K | |
| 2024incomplete | 3,673 | $130K |
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 | 19% | 4,835 | 4,007 | $226K |
| 92015 | Determination of refractive state | 17% | 5,895 | 5,560 | $202K |
| 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 | 16% | 3,632 | 3,449 | $186K |
| V2020 | Frames, purchases | 14% | 5,894 | 5,661 | $162K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 2,117 | 2,016 | $127K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.9% | 4,456 | 4,339 | $93K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.5% | 2,651 | 2,573 | $88K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 6.3% | 2,638 | 2,570 | $74K |
| V2102 | Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens | 1.0% | 304 | 301 | $12K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 113 | 112 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 136 | 131 | $4K |
| 92341 | <1% | 175 | 173 | $4K |
1 more codes
| 92342 | <1% | 26 | $599.38 |
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.