Simmons, Neil
Simmons, Neil was paid $712K by Medicaid between Jan 2018 and Oct 2023, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.
33Billing provider infoSIMMONS, NEIL
CARTHAGE, MS 39051
CARTHAGE, MS 39051
33aNPI1104937556assigned 08/31/2006
33bProvider typeOptometrist
28Total paid$712K
24GClaims16,541
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#39 of 437
Median peer was paid$91K
This provider vs. median7.8×
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 | |
|---|---|---|---|
| 2018 | 4,016 | $205K | |
| 2019 | 3,856 | $195K | |
| 2020 | 2,339 | $105K | |
| 2021 | 2,242 | $96K | |
| 2022 | 2,124 | $72K | |
| 2023 | 1,964 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 42% | 3,471 | 3,017 | $298K |
| 92015 | Determination of refractive state | 19% | 3,990 | 3,516 | $138K |
| V2020 | Frames, purchases | 11% | 2,664 | 2,310 | $81K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.0% | 1,946 | 1,728 | $64K |
| 92250 | 6.4% | 1,306 | 1,187 | $46K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.8% | 2,623 | 2,285 | $41K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.9% | 322 | 303 | $35K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | <1% | 69 | 61 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 64 | 45 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 17 | 15 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 69 | 51 | $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.