Cerrone, Franklin
Cerrone, Franklin was paid $35K by Medicaid between Apr 2019 and Jul 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 85% of everything it billed.
33Billing provider infoCERRONE, FRANKLIN
CHARLOTTESVILLE, VA 22902
CHARLOTTESVILLE, VA 22902
33aNPI1790739001assigned 05/20/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$35K
24GClaims2,527
24DCodes billed5
24AFirst – last monthApr 2019 – Jul 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Virginia
Rank by total paid#7 of 17
Median peer was paid$29K
This provider vs. median1.2×
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 | 546 | $7K | |
| 2020 | 316 | $5K | |
| 2021 | 746 | $10K | |
| 2022 | 823 | $10K | |
| 2023 | 83 | $689.12 | |
| 2024incomplete | 13 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 85% | 675 | 666 | $29K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.5% | 80 | 79 | $3K |
| 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 | 6.0% | 27 | 24 | $2K |
| 92015 | Determination of refractive state | 0% | 998 | 998 | $0.00 |
| 99199 | Unlisted special service, procedure or report | 0% | 747 | 747 | $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.