Caruso, John

Caruso, John was paid $2K by Medicaid between Nov 2018 and Dec 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoCARUSO, JOHN
BINGHAMTON, NY 13905

33aNPI1659650992assigned 08/04/2011

33bProvider typeFamily Medicine Physician

28Total paid$2K

24GClaims173

24DCodes billed2

24AFirst – last monthNov 2018 – Dec 2023

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#1,857 of 2,605

Median peer was paid$10K

This provider vs. median0.2×

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	33	$192.46
2022	127	$2K
2023	13	$115.84

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	95%	160	156	$2K
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	5.0%	13	12	$115.84

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.