Cummins, Arnold
Cummins, Arnold was paid $431K by Medicaid between Mar 2019 and Dec 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 61% of everything it billed.
33Billing provider infoCUMMINS, ARNOLD
STRATFORD, CT 06614
STRATFORD, CT 06614
33aNPI1225040132assigned 08/12/2006
33bProvider typeOptometrist
28Total paid$431K
24GClaims8,444
24DCodes billed4
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#100 of 340
Median peer was paid$125K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2019 | 957 | $50K | |
| 2020 | 948 | $50K | |
| 2021 | 1,501 | $77K | |
| 2022 | 1,616 | $82K | |
| 2023 | 1,738 | $86K | |
| 2024incomplete | 1,684 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 61% | 3,974 | 3,887 | $264K |
| 92015 | Determination of refractive state | 37% | 4,349 | 4,260 | $161K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.3% | 108 | 105 | $5K |
| 92310 | <1% | 13 | 13 | $600.60 |
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.