Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cornea Consultants, P.C.

Cornea Consultants, P.C. was paid $14K by Medicaid between Jun 2019 and Sep 2021, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 52% of everything it billed.

33Billing provider infoCORNEA CONSULTANTS, P.C.
MC LEAN, VA 22102
33aNPI1396789673assigned 06/16/2006
33bProvider typeOptometrist
28Total paid$14K
24GClaims751
24DCodes billed4
24AFirst – last monthJun 2019 – Sep 2021
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#279 of 491
Median peer was paid$23K
This provider vs. median0.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201932$2K
2020151$2K
2021568$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 52% 184 136 $7K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40% 71 63 $6K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.5% 13 12 $922.59
99072 1.1% 483 351 $149.14

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.

From NPPES

Who's on the registration

Authorized officialRAJPAL, RAJESH (MEDICAL DIRECTOR)