Cummings, Michael
Cummings, Michael was paid $99K by Medicaid between Jan 2018 and Nov 2021, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 65% of everything it billed.
33Billing provider infoCUMMINGS, MICHAEL
HOUMA, LA 70364
HOUMA, LA 70364
33aNPI1497931687assigned 01/17/2008
33bProvider typeOptometrist
28Total paid$99K
24GClaims2,089
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#276 of 442
Median peer was paid$199K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2018 | 642 | $30K | |
| 2019 | 500 | $24K | |
| 2020 | 438 | $21K | |
| 2021 | 509 | $24K |
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 | 65% | 1,359 | 1,343 | $64K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 35% | 730 | 720 | $35K |
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.