Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Raphael Capasso (NPI 1447321146)

Field	Value
Entity Type	Individual
Organization	Raphael Capasso
Address	100 Hawley Ln
City	Trumbull
State	CT
ZIP	06611
Taxonomy	Optometrist
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	4,840	$50	$227.2K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	5,900	$30	$200.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,630	$50	$185.2K
V2020	Frames, purchases	5,890	$30	$159.1K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	2,120	$60	$127K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	4,460	$20	$93.6K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2,650	$30	$87.5K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	2,640	$30	$73.9K
V2102	Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens	300	$40	$12.2K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	110	$50	$5.3K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.

Claims Volume vs. Connecticut Distribution

Raphael Capasso — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	361	1,590	740	$50	$331.8K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	80	440	1,200	$30	$118.2K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	60	410	700	$40	$99.1K
V2020	Frames, purchases	55	320	1,070	$30	$85.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	66	350	460	$60	$80.2K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	53	270	1,010	$20	$59.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	68	250	800	$30	$58.1K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	55	210	770	$30	$58K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	58	100	170	$40	$29K
92342	The provider fits eyeglasses that are multifocal other than bifocal, for example trifocal glasses. These are lenses that have more than two separate areas providing best vision are varying focal…	8	10	150	$30	$25.4K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Raphael Capasso, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coordinated Transportation Solutions, Inc.	CT	Transportation Broker	$0	$94.1M
Fairfield County Healthcare Associates	CT	Pediatrics Physician	$0	$16.5M
Progressive Diagnostics, LLC	CT	Clinical Medical Laboratory	$222.3K	$6M
Childrens Dentistry Of Trumbull, PC	CT	Pediatric Dentistry	$0	$4M
Nephrology Associates, PC	CT	Nephrology Physician	$0	$2.4M
Trumbull Pediatrics PC	CT	General Practice Physician	$0	$1.7M
Town Of Trumbull	CT	Ambulance	$494.9K	$1.1M
Trumbull Public Schools	CT	Local Education Agency (LEA)	$0	$1.4M
Connecticut In Home Assistance LLC	CT	Chore Provider	$0	$1.1M
Philip Simkovitz	CT	Critical Care Medicine (Internal Medicine) Physician	$589.2K	$506K

Raphael Capasso — Billing Profile & Reimbursement Data

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Raphael Capasso — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References