Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ragusa, Nikola

Ragusa, Nikola was paid $427K by Medicaid between Jan 2019 and Dec 2024, across 18 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 17% of everything it billed.

33Billing provider infoRAGUSA, NIKOLA
BRONX, NY 10461
33aNPI1568625192assigned 07/03/2008
28Total paid$427K
24GClaims11,475
24DCodes billed18
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Glaucoma Specialist (Ophthalmology) Physician providers in New York

Rank by total paid#2 of 29
Median peer was paid$28K
This provider vs. median15×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20191,677$52K
2020785$29K
20211,280$37K
2022327$11K
20233,232$125K
2024incomplete4,174$172K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17% 1,047 1,038 $72K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14% 1,276 1,264 $61K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 13% 332 273 $58K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 11% 1,566 1,480 $45K
92250 10% 1,851 1,837 $45K
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 9.6% 714 697 $41K
92083 7.2% 1,090 1,081 $31K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.6% 502 493 $20K
92133 4.1% 1,021 1,013 $17K
92136 2.7% 428 417 $11K
92020 2.3% 951 935 $10K
68761 1.3% 83 61 $6K
6 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 217 $5K
99204 Doctor's office visit, new patient (more involved) <1% 56 $4K
92134 <1% 81 $1K
76514 <1% 220 $1K
92226 <1% 15 $194.30
92202 <1% 25 $135.50

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.