Cumberland Family Eye Care, LTD.
Cumberland Family Eye Care, LTD. was paid $48K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoCUMBERLAND FAMILY EYE CARE, LTD.
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1760578181assigned 10/04/2006
33bProvider typeOptometrist
28Total paid$48K
24GClaims1,948
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#68 of 209
Median peer was paid$24K
This provider vs. median2.0×
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 | 422 | $10K | |
| 2019 | 1,204 | $29K | |
| 2020 | 72 | $2K | |
| 2021 | 97 | $3K | |
| 2022 | 15 | $267.00 | |
| 2023 | 125 | $4K | |
| 2024incomplete | 13 | $264.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 33% | 354 | 346 | $16K |
| 92015 | Determination of refractive state | 29% | 652 | 645 | $14K |
| V2020 | Frames, purchases | 18% | 490 | 486 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 364 | 361 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.5% | 55 | 55 | $3K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1.1% | 33 | 32 | $536.00 |
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 officialSANTOS, STEVEN (TREASURER)