Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Atmore › NPI 1821032012

Cooper, John

Cooper, John was paid $367K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 24% of everything it billed.

33Billing provider infoCOOPER, JOHN
ATMORE, AL 36502
33aNPI1821032012assigned 06/16/2006
33bProvider typeOptometrist
28Total paid$367K
24GClaims16,912
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Alabama

Rank by total paid#68 of 346
Median peer was paid$59K
This provider vs. median6.2×

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

$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
20182,237$43K
20192,369$49K
20201,855$38K
20212,660$52K
20223,137$57K
20232,585$63K
2024incomplete2,069$65K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24% 1,153 1,081 $88K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 1,063 994 $62K
92340 Fitting of spectacles, except for aphakia; monofocal 14% 3,338 3,069 $52K
V2020 Frames, purchases 14% 3,334 3,066 $51K
V2784 Lens, polycarbonate or equal, any index, per lens 11% 2,726 2,494 $39K
92015 Determination of refractive state 7.0% 3,329 3,058 $26K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.7% 935 877 $17K
V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens 2.8% 280 263 $10K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.6% 506 473 $9K
V2499 Variable sphericity lens, other type 1.5% 83 81 $5K
92002 <1% 99 86 $3K
V2750 Anti-reflective coating, per lens <1% 26 26 $3K
2 more codes
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 25 $963.40
99213 Doctor's office visit, returning patient (routine) <1% 15 $390.59

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.