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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Michael Caruso (NPI 1659646065)

Field	Value
Entity Type	Individual
Organization	Michael Caruso
Address	9768 Liberty Dr
City	Painted Post
State	NY
ZIP	14870
Taxonomy	Physician Assistant
NPI Enumerated	March 19, 2012

Payer Source	Total Paid
Medicare	$16.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	90	$80	$7.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	50	$70	$3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	40	$60	$1.9K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	30	$40	$1.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$120	$1.4K
29405	The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. The short leg cast extends from just below the…	10	$50	$540
Q4038	Cast supplies, short leg cast, adult (11 years +), fiberglass	10	$40	$430
J1040	Injection, methylprednisolone acetate, 80 mg	30	$10	$280

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Michael Caruso — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,609	30,450	90	$100	$19K
99213	23,293	31,440	80	$70	$12.1K
99223	8,082	8,650	40	$150	$9.3K
20610	1,271	1,870	60	$60	$7K
99203	4,301	11,360	30	$90	$4.7K
29405	10	10	20	$60	$1K
J1040	227	340	50	$10	$920
Q4038	10	10	20	$30	$810

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michael Caruso, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
Jeffrey Lutton	NY	Orthopaedic Surgery Physician	$178.6K	$4.1K
Rona Gazaway	MN	Diagnostic Radiology Physician	$155.4K	$0
Joseph Williams	MN	Diagnostic Radiology Physician	$150.8K	$80
William Karczewski	MN	Diagnostic Radiology Physician	$148.3K	$0
Gregory Kenyherz	MN	Diagnostic Radiology Physician	$135.2K	$0
George Wu	MN	Diagnostic Radiology Physician	$132.7K	$0
Louis Dubois	NY	Pulmonary Disease Physician	$100.5K	$21.5K
Michael Caruso	MN	Diagnostic Radiology Physician	$108.7K	$9.4K
Paulette Lewis	NY	Internal Medicine Physician	$87K	$29K

Michael Caruso — Billing Profile & Reimbursement Data

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Michael Caruso — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References