Simmers, Jamie
Simmers, Jamie was paid $24K by Medicaid between Nov 2018 and Sep 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 87% of everything it billed.
33Billing provider infoSIMMERS, JAMIE
WINCHESTER, VA 22602
WINCHESTER, VA 22602
33aNPI1215933981assigned 06/27/2005
33bProvider typeOptometrist
28Total paid$24K
24GClaims1,377
24DCodes billed4
24AFirst – last monthNov 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#244 of 491
Median peer was paid$23K
This provider vs. median1.0×
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 | 14 | $81.95 | |
| 2019 | 151 | $5K | |
| 2020 | 124 | $2K | |
| 2021 | 471 | $10K | |
| 2022 | 417 | $6K | |
| 2023 | 151 | $903.22 | |
| 2024incomplete | 49 | $260.19 |
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 | 87% | 408 | 384 | $21K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.8% | 38 | 38 | $2K |
| 92015 | Determination of refractive state | 6.4% | 758 | 745 | $2K |
| 99199 | Unlisted special service, procedure or report | 0% | 173 | 173 | $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.