Calderon, Vincente
Calderon, Vincente was paid $1.08M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoCALDERON, VINCENTE
EAST ROCKAWAY, NY 11518
EAST ROCKAWAY, NY 11518
33aNPI1457542375assigned 08/06/2007
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$1.08M
24GClaims16,248
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in New York
Rank by total paid#4 of 44
Median peer was paid$43K
This provider vs. median25×
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 | 1,259 | $50K | |
| 2019 | 1,253 | $69K | |
| 2020 | 443 | $33K | |
| 2021 | 1,383 | $111K | |
| 2022 | 3,563 | $336K | |
| 2023 | 3,183 | $144K | |
| 2024incomplete | 5,164 | $340K |
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 | 32% | 2,373 | 2,355 | $350K |
| 92250 | 32% | 6,090 | 5,992 | $347K | |
| 99499 | 17% | 1,891 | 1,890 | $179K | |
| V2020 | Frames, purchases | 14% | 1,211 | 1,209 | $148K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.8% | 805 | 805 | $30K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.3% | 541 | 534 | $14K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.1% | 366 | 366 | $12K |
| 99344 | <1% | 12 | 12 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | 12 | $880.38 |
| 92225 | <1% | 12 | 12 | $105.12 | |
| 2023F | 0% | 2,917 | 2,911 | $0.00 | |
| 3044F | 0% | 17 | 17 | $0.00 |
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.