Hernandez Caruso, Sonia

Hernandez Caruso, Sonia was paid $1K by Medicaid between Jan 2018 and Feb 2018, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 61% of everything it billed.

33Billing provider infoHERNANDEZ CARUSO, SONIA
JOHNSTOWN, NY 12095

33aNPI1902188873assigned 09/15/2011

33bProvider typeGeneral Practice Physician

28Total paid$1K

24GClaims64

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other General Practice Physician providers in New York

Rank by total paid#155 of 178

Median peer was paid$27K

This provider vs. median0.0×

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	64	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	61%	16	12	$759.41
92134		39%	15	14	$480.83
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	33	25	$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.