Pegram & Cornetta P L C
Pegram & Cornetta P L C was paid $5K by Medicaid between Oct 2019 and Apr 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 55% of everything it billed.
33Billing provider infoPEGRAM & CORNETTA P L C
NORFOLK, VA 23517
NORFOLK, VA 23517
33aNPI1770558561assigned 02/23/2006
33bProvider typeOptometrist
28Total paid$5K
24GClaims475
24DCodes billed5
24AFirst – last monthOct 2019 – Apr 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#333 of 491
Median peer was paid$23K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 37 | $480.00 | |
| 2020 | 29 | $0.00 | |
| 2021 | 248 | $4K | |
| 2022 | 91 | $961.72 | |
| 2023 | 55 | $99.39 | |
| 2024incomplete | 15 | $0.00 |
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 | 55% | 66 | 66 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 21% | 43 | 43 | $1K |
| V2025 | Deluxe frame | 20% | 24 | 24 | $1K |
| 92015 | Determination of refractive state | 2.1% | 328 | 326 | $116.65 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.1% | 14 | 14 | $60.00 |
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 officialCORNETTA, JAMES (PARTNER/OWNER)
| Provider | Location | Paid |
|---|---|---|
| DR. James V. Cornetta LTD | Portsmouth, VA | $3.39M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.