Fumuso, Russell

Fumuso, Russell was paid $28K by Medicaid between Jan 2018 and Jul 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 73% of everything it billed.

33Billing provider infoFUMUSO, RUSSELL
ROCKVILLE CENTRE, NY 11570

33aNPI1750386736assigned 06/16/2005

33bProvider typeOphthalmology Physician

28Total paid$28K

24GClaims1,188

24DCodes billed4

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#566 of 1,085

Median peer was paid$34K

This provider vs. median0.8×

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	175	$5K
2019	192	$3K
2020	260	$7K
2021	266	$7K
2022	175	$3K
2023	89	$2K
2024incomplete	31	$1K

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	73%	496	493	$20K
92015	Determination of refractive state	13%	647	645	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	8.3%	27	26	$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	5.6%	18	18	$2K

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.