Simons, Brenda
Simons, Brenda was paid $127K by Medicaid between Jan 2018 and Sep 2019, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoSIMONS, BRENDA
CALUMET CITY, IL 60409
CALUMET CITY, IL 60409
33aNPI1447243464assigned 08/24/2005
33bProvider typeOptometrist
28Total paid$127K
24GClaims4,562
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#360 of 1,069
Median peer was paid$56K
This provider vs. median2.3×
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 | 2,256 | $64K | |
| 2019 | 2,306 | $64K |
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 | 29% | 881 | 873 | $37K |
| 92015 | Determination of refractive state | 21% | 1,560 | 1,537 | $27K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 533 | 522 | $24K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 842 | 804 | $24K |
| 92341 | 4.5% | 199 | 194 | $6K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.3% | 292 | 270 | $5K |
| V2020 | Frames, purchases | 3.4% | 206 | 205 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 49 | 25 | $135.00 |
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.