Toader, Simona
Toader, Simona was paid $121K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.
33Billing provider infoTOADER, SIMONA
PORTAGE, IN 46368
PORTAGE, IN 46368
33aNPI1225416019assigned 05/12/2015
33bProvider typeOptometrist
28Total paid$121K
24GClaims3,848
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#237 of 743
Median peer was paid$22K
This provider vs. median5.5×
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
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 | 1,144 | $37K | |
| 2019 | 1,865 | $57K | |
| 2020 | 839 | $26K |
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 | 37% | 967 | 871 | $44K |
| 92015 | Determination of refractive state | 19% | 1,472 | 1,319 | $23K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 512 | 443 | $23K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 615 | 549 | $18K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 9.1% | 243 | 215 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.1% | 27 | 27 | $1K |
| V2020 | Frames, purchases | <1% | 12 | 12 | $129.60 |
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.