Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Russo, Paul

Russo, Paul was paid $9K by Medicaid between Mar 2018 and Jun 2022, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 69% of everything it billed.

33Billing provider infoRUSSO, PAUL
COOPERSTOWN, NY 13326
33aNPI1619946662assigned 03/14/2006
33bProvider typeOptometrist
28Total paid$9K
24GClaims612
24DCodes billed3
24AFirst – last monthMar 2018 – Jun 2022
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#1,032 of 1,605
Median peer was paid$29K
This provider vs. median0.3×

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$500$1.0K2018201920202021202220232024
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
2018103$1K
2019158$2K
2020165$3K
2021123$2K
202263$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 69% 412 412 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 173 172 $3K
92015 Determination of refractive state 0% 27 27 $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.