Cardone Family Optometry, PLLC
Cardone Family Optometry, PLLC was paid $43K by Medicaid between May 2019 and Oct 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoCARDONE FAMILY OPTOMETRY, PLLC
PATCHOGUE, NY 11772
PATCHOGUE, NY 11772
33aNPI1669610523assigned 01/30/2009
33bProvider typeOptometrist
28Total paid$43K
24GClaims3,698
24DCodes billed6
24AFirst – last monthMay 2019 – Oct 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#726 of 1,605
Median peer was paid$29K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2019 | 169 | $2K | |
| 2020 | 655 | $4K | |
| 2021 | 920 | $5K | |
| 2022 | 949 | $12K | |
| 2023 | 481 | $10K | |
| 2024incomplete | 524 | $11K |
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 | 40% | 463 | 461 | $17K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 33% | 856 | 452 | $14K |
| V2020 | Frames, purchases | 16% | 642 | 636 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 121 | 121 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,007 | 510 | $302.00 |
| 92015 | Determination of refractive state | <1% | 609 | 608 | $60.80 |
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.
From NPPES
Who's on the registration
Authorized officialCARDONE, GINA (OWNER/OPTOMETRIST)