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

Cutler, James was paid $129K by Medicaid between Jan 2018 and Aug 2020, across 14 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 25% of everything it billed.

33Billing provider infoCUTLER, JAMES
FRISCO, CO 80443
33aNPI1780609891assigned 07/12/2006
33bProvider typeOptometrist
28Total paid$129K
24GClaims3,384
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers

Next to other Optometrist providers in Colorado

Rank by total paid#165 of 425
Median peer was paid$49K
This provider vs. median2.6×

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$10K$15K2018201920202021202220232024
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
20182,164$96K
2019969$25K
2020251$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 25% 770 641 $33K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 19% 155 142 $25K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19% 440 410 $25K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 314 300 $16K
V2020 Frames, purchases 5.4% 396 319 $7K
S0621 Routine ophthalmological examination including refraction; established patient 5.3% 153 149 $7K
S0620 Routine ophthalmological examination including refraction; new patient 4.3% 122 120 $5K
V2025 Deluxe frame 3.9% 469 458 $5K
V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens 3.2% 71 58 $4K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 76 63 $984.84
V2784 Lens, polycarbonate or equal, any index, per lens <1% 93 76 $549.57
92015 Determination of refractive state <1% 276 243 $49.10
2 more codes
V2750 Anti-reflective coating, per lens 0% 13 $0.00
S0581 Nonstandard lens (list this code in addition to the basic code for the lens) 0% 36 $0.00

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.