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

Cunningham, James was paid $85K by Medicaid between Feb 2018 and Oct 2023, across 7 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 27% of everything it billed.

33Billing provider infoCUNNINGHAM, JAMES
ADA, OK 74820
33aNPI1871502674assigned 08/08/2006
28Total paid$85K
24GClaims4,094
24DCodes billed7
24AFirst – last monthFeb 2018 – Oct 2023
Compared with peers

Next to other Corneal and Contact Management Optometrist providers in Oklahoma

Rank by total paid#6 of 15
Median peer was paid$33K
This provider vs. median2.5×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018679$11K
20191,101$23K
2020901$17K
2021820$20K
2022257$7K
2023336$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 27% 758 755 $23K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 25% 760 757 $21K
92015 Determination of refractive state 19% 902 902 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 136 136 $14K
V2020 Frames, purchases 8.7% 738 735 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3.9% 42 42 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 0% 758 755 $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.