Fracassa, Mario

Fracassa, Mario was paid $49K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 68% of everything it billed.

33Billing provider infoFRACASSA, MARIO
PLAINVIEW, NY 11803

33aNPI1780681478assigned 07/07/2005

33bProvider typeOphthalmology Physician

28Total paid$49K

24GClaims984

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#493 of 1,085

Median peer was paid$34K

This provider vs. median1.4×

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	52	$3K
2019	252	$13K
2020	174	$11K
2021	273	$14K
2022	82	$2K
2023	109	$4K
2024incomplete	42	$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	68%	588	578	$33K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	14%	152	140	$7K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	8.0%	41	41	$4K
92083		5.6%	59	58	$3K
92015	Determination of refractive state	2.6%	107	107	$1K
92133		1.4%	25	25	$693.08
92134		<1%	12	12	$177.57

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.