Simmons, Janice
Simmons, Janice was paid $2K by Medicaid between Jan 2021 and Mar 2022, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.
33Billing provider infoSIMMONS, JANICE
ELLICOTT CITY, MD 21042
ELLICOTT CITY, MD 21042
33aNPI1033266119assigned 01/04/2007
33bProvider typeOptometrist
28Total paid$2K
24GClaims205
24DCodes billed3
24AFirst – last monthJan 2021 – Mar 2022
Compared with peers
Next to other Optometrist providers in Maryland
Rank by total paid#294 of 345
Median peer was paid$27K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 185 | $1K | |
| 2022 | 20 | $120.00 |
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 | 50% | 66 | 52 | $765.00 |
| V2020 | Frames, purchases | 47% | 117 | 78 | $713.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.8% | 22 | 12 | $42.00 |
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.