Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cornetta, James

Cornetta, James was paid $91K by Medicaid between Jan 2018 and Jul 2019, across 7 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 64% of everything it billed.

33Billing provider infoCORNETTA, JAMES
PORTSMOUTH, VA 23704
33aNPI1689665861assigned 11/04/2005
33bProvider typeOptometrist
28Total paid$91K
24GClaims2,123
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#149 of 491
Median peer was paid$23K
This provider vs. median3.9×

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$5.0K$10K2018201920202021202220232024
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
20181,337$58K
2019786$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 64% 788 785 $58K
S0621 Routine ophthalmological examination including refraction; established patient 17% 348 348 $16K
V2020 Frames, purchases 12% 840 837 $11K
S0620 Routine ophthalmological examination including refraction; new patient 4.4% 89 89 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.3% 29 28 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 16 16 $656.73
92015 Determination of refractive state <1% 13 12 $169.56

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.