Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CT › Prospect › NPI 1700105145

DR Thomas J Deluca and DR Anthony C Marciano and Associates P C

DR Thomas J Deluca and DR Anthony C Marciano and Associates P C was paid $72K by Medicaid between Jan 2018 and May 2020, across 10 billing codes. Its largest line is 92015, Determination of refractive state — 37% of everything it billed.

33Billing provider infoDR THOMAS J DELUCA AND DR ANTHONY C MARCIANO AND ASSOCIATES P C
PROSPECT, CT 06712
33aNPI1700105145assigned 05/25/2010
33bProvider typeOptometrist
28Total paid$72K
24GClaims2,562
24DCodes billed10
24AFirst – last monthJan 2018 – May 2020
Compared with peers

Next to other Optometrist providers in Connecticut

Rank by total paid#202 of 340
Median peer was paid$125K
This provider vs. median0.6×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,312$35K
2019953$28K
2020297$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 37% 1,049 856 $27K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 37% 777 637 $27K
V2020 Frames, purchases 12% 403 321 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.8% 54 41 $3K
92250 2.8% 58 52 $2K
92081 2.0% 62 55 $1K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 1.8% 57 43 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.7% 55 42 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 29 25 $810.95
V2784 Lens, polycarbonate or equal, any index, per lens 0% 18 14 $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.

From NPPES

Who's on the registration

Authorized officialMARCIANO, ANTHONY (VICE PRESIDENT)