Physician
Caruso, John
Caruso, John was paid $101K by Medicaid between Oct 2020 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoCARUSO, JOHN
LOYSVILLE, PA 17047
LOYSVILLE, PA 17047
33aNPI1912946617assigned 06/06/2006
33bProvider typeFamily Medicine Physician
28Total paid$101K
24GClaims3,509
24DCodes billed18
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#625 of 2,756
Median peer was paid$19K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2020 | 225 | $6K | |
| 2021 | 2,016 | $54K | |
| 2022 | 397 | $11K | |
| 2023 | 551 | $17K | |
| 2024incomplete | 320 | $12K |
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 | 60% | 1,884 | 1,718 | $61K |
| 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 | 31% | 758 | 735 | $31K |
| 80053 | Comprehensive metabolic panel | 2.2% | 187 | 183 | $2K |
| 80061 | Lipid panel | 1.9% | 140 | 140 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 20 | 18 | $2K |
| 80050 | General health panel | <1% | 14 | 14 | $675.92 |
| 0012A | <1% | 12 | 12 | $528.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 62 | 62 | $477.40 |
| G0008 | Administration of influenza virus vaccine | <1% | 38 | 38 | $391.58 |
| 90734 | <1% | 17 | 13 | $294.77 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 40 | 40 | $244.20 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | 12 | $229.77 |
6 more codes
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.