Simpson, James
Simpson, James was paid $64K by Medicaid between Jan 2018 and May 2019, across 5 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 51% of everything it billed.
33Billing provider infoSIMPSON, JAMES
EL DORADO, AR 71730
EL DORADO, AR 71730
33aNPI1386617405assigned 02/09/2006
33bProvider typeOptometrist
28Total paid$64K
24GClaims1,311
24DCodes billed5
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Optometrist providers in Arkansas
Rank by total paid#196 of 354
Median peer was paid$79K
This provider vs. median0.8×
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 | 957 | $46K | |
| 2019 | 354 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 51% | 700 | 664 | $32K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 32% | 376 | 357 | $20K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 15% | 185 | 166 | $10K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.9% | 38 | 37 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $311.79 |
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.