DR. James V. Cornetta LTD
DR. James V. Cornetta LTD was paid $3.39M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.
PORTSMOUTH, VA 23704
Next to other Optometrist providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,353 | $169K | |
| 2019 | 9,091 | $303K | |
| 2020 | 9,080 | $298K | |
| 2021 | 13,872 | $470K | |
| 2022 | 16,027 | $566K | |
| 2023 | 17,051 | $805K | |
| 2024incomplete | 15,219 | $782K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 14,882 | 14,308 | $876K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 9,925 | 9,739 | $680K |
| V2020 | Frames, purchases | 13% | 8,206 | 8,132 | $443K |
| V2025 | Deluxe frame | 11% | 7,202 | 7,170 | $386K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.0% | 9,238 | 9,066 | $304K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 4.9% | 1,855 | 1,854 | $166K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.2% | 2,592 | 2,472 | $144K |
| 92015 | Determination of refractive state | 4.1% | 18,262 | 17,479 | $141K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.7% | 6,514 | 6,429 | $126K |
| 92250 | 2.1% | 2,693 | 2,562 | $70K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 459 | 459 | $30K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 166 | 141 | $10K |
8 more codes
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 118 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 145 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 41 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 47 | $2K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 27 | $2K |
| 92020 | <1% | 12 | $241.45 | |
| 1036F | 0% | 18 | $0.00 | |
| 99199 | Unlisted special service, procedure or report | 0% | 3,291 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pegram & Cornetta P L C | Norfolk, VA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.