Physician
Charles A. Casarona, MD
Charles A. Casarona, MD was paid $1.88M by Medicaid between Jan 2018 and Aug 2023, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoCHARLES A. CASARONA, MD
VALLEY, AL 36854
VALLEY, AL 36854
33aNPI1811014293assigned 03/23/2007
33bProvider typePediatrics Physician
28Total paid$1.88M
24GClaims61,930
24DCodes billed32
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#73 of 199
Median peer was paid$702K
This provider vs. median2.7×
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 | 10,255 | $312K | |
| 2019 | 9,783 | $338K | |
| 2020 | 8,419 | $267K | |
| 2021 | 12,731 | $367K | |
| 2022 | 13,523 | $382K | |
| 2023 | 7,219 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 13,690 | 12,180 | $776K |
| 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 | 19% | 3,904 | 3,583 | $357K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 2,692 | 2,525 | $154K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.2% | 2,571 | 2,476 | $153K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 1,981 | 1,918 | $120K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 1,212 | 1,174 | $75K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 4,274 | 4,083 | $57K |
| 90670 | 2.1% | 2,096 | 2,027 | $40K | |
| 90698 | 1.4% | 1,358 | 1,333 | $26K | |
| 90680 | 1.2% | 1,144 | 1,134 | $22K | |
| 99173 | <1% | 4,507 | 4,283 | $19K | |
| 90633 | <1% | 577 | 544 | $11K |
20 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 232 | $8K |
| 90688 | <1% | 473 | $8K | |
| 90697 | <1% | 413 | $8K | |
| 90686 | <1% | 370 | $7K | |
| 90744 | <1% | 351 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 308 | $6K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 306 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 177 | $4K |
| 90651 | <1% | 230 | $4K | |
| 90734 | <1% | 198 | $4K | |
| 90687 | <1% | 125 | $2K | |
| 96127 | <1% | 548 | $2K | |
| 90619 | <1% | 72 | $1K | |
| 90715 | <1% | 25 | $494.75 | |
| 90696 | <1% | 28 | $455.17 | |
| 90620 | <1% | 14 | $277.06 | |
| 90710 | <1% | 15 | $257.27 | |
| 90716 | <1% | 14 | $237.48 | |
| 90621 | <1% | 12 | $237.48 | |
| 99080 | 0% | 18,013 | $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.
From NPPES
Who's on the registration
Authorized officialCASARONA, CHARLES (PEDIATRICIAN)