John Fornarotto PLLC

John Fornarotto PLLC was paid $69K by Medicaid between Oct 2019 and Mar 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoJOHN FORNAROTTO PLLC
POCATELLO, ID 83201

33aNPI1790838662assigned 01/22/2007

33bProvider typeOphthalmology Physician

28Total paid$69K

24GClaims1,168

24DCodes billed8

24AFirst – last monthOct 2019 – Mar 2024

Compared with peers

Next to other Ophthalmology Physician providers in Idaho

Rank by total paid#10 of 22

Median peer was paid$43K

This provider vs. median1.6×

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

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	15	$19.82
2020	132	$2K
2021	277	$11K
2022	392	$27K
2023	312	$25K
2024incomplete	40	$4K

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	53%	501	457	$37K
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	36%	230	228	$25K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.6%	32	32	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.9%	15	13	$1K
92202		1.5%	119	118	$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	1.5%	16	14	$1K
92015	Determination of refractive state	1.4%	243	236	$954.29
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	1.2%	12	12	$826.07

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 officialFORNAROTTO, JOHN (OWNER)