Neil H. Simmons, O.D., P.A.
Neil H. Simmons, O.D., P.A. was paid $756K by Medicaid between May 2018 and Apr 2023, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 47% of everything it billed.
33Billing provider infoNEIL H. SIMMONS, O.D., P.A.
CARTHAGE, MS 39051
CARTHAGE, MS 39051
33aNPI1235305558assigned 05/06/2008
33bProvider typeOptometrist
28Total paid$756K
24GClaims19,039
24DCodes billed9
24AFirst – last monthMay 2018 – Apr 2023
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#36 of 437
Median peer was paid$91K
This provider vs. median8.3×
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 | 2,454 | $50K | |
| 2019 | 2,785 | $143K | |
| 2020 | 3,322 | $160K | |
| 2021 | 4,406 | $172K | |
| 2022 | 5,027 | $195K | |
| 2023 | 1,045 | $36K |
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 | 47% | 4,506 | 3,790 | $352K |
| 92015 | Determination of refractive state | 17% | 5,272 | 4,397 | $128K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 770 | 723 | $84K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.2% | 3,116 | 2,615 | $62K |
| 92250 | 8.2% | 2,328 | 1,919 | $62K | |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 5.1% | 483 | 459 | $38K |
| V2020 | Frames, purchases | 3.7% | 1,138 | 1,091 | $28K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 285 | 282 | $2K |
| 3072F | 0% | 1,141 | 1,068 | $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.
From NPPES
Who's on the registration
Authorized officialSIMMONS, NEIL (OWNER)