Crapotta, Charles

Crapotta, Charles was paid $122K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 90% of everything it billed.

33Billing provider infoCRAPOTTA, CHARLES
FAIRFIELD, CA 94533

33aNPI1932108362assigned 07/18/2005

33bProvider typeOphthalmology Physician

28Total paid$122K

24GClaims7,932

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#263 of 759

Median peer was paid$35K

This provider vs. median3.5×

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	1,415	$29K
2019	1,367	$23K
2020	755	$14K
2021	715	$16K
2022	1,787	$19K
2023	1,022	$10K
2024incomplete	871	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	90%	2,510	2,506	$110K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	6.7%	3,548	3,541	$8K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.5%	779	778	$3K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	98	98	$1K
1123F		0%	228	228	$0.00
1036F		0%	302	302	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	165	165	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	228	228	$0.00
G9974	Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity	0%	13	13	$0.00
2022F		0%	43	43	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	18	18	$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.