Physician
Caimano, Paul
Caimano, Paul was paid $37K by Medicaid between Jan 2021 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoCAIMANO, PAUL
WASHINGTON, PA 15301
WASHINGTON, PA 15301
33aNPI1700860376assigned 12/06/2005
33bProvider typeOphthalmology Physician
28Total paid$37K
24GClaims1,110
24DCodes billed5
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#84 of 288
Median peer was paid$7K
This provider vs. median5.3×
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
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 | |
|---|---|---|---|
| 2021 | 371 | $13K | |
| 2022 | 319 | $10K | |
| 2023 | 285 | $9K | |
| 2024incomplete | 135 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 470 | 464 | $15K |
| 92250 | 40% | 428 | 426 | $15K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 159 | 152 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.6% | 39 | 39 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.8% | 14 | 14 | $1K |
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.