Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cole, David

Cole, David was paid $198K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.

33Billing provider infoCOLE, DAVID
MOULTON, AL 35650
33aNPI1609072545assigned 06/26/2007
33bProvider typeOptometrist
28Total paid$198K
24GClaims6,769
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Alabama

Rank by total paid#109 of 346
Median peer was paid$59K
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018913$27K
20191,231$35K
20201,011$27K
2021981$29K
2022980$28K
2023996$29K
2024incomplete657$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 40% 981 956 $79K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 34% 1,026 1,014 $67K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 1,546 1,513 $27K
92015 Determination of refractive state 11% 2,432 2,385 $21K
92370 1.9% 784 766 $4K

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.