Thomas L Simmons
Thomas L Simmons was paid $38K by Medicaid between Jan 2018 and Aug 2023, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 66% of everything it billed.
33Billing provider infoTHOMAS L SIMMONS
VICTOR, ID 83455
VICTOR, ID 83455
33aNPI1447444716assigned 08/30/2007
33bProvider typeOptometrist
28Total paid$38K
24GClaims736
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Optometrist providers in Idaho
Rank by total paid#65 of 134
Median peer was paid$35K
This provider vs. median1.1×
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 | 189 | $9K | |
| 2019 | 184 | $9K | |
| 2020 | 110 | $6K | |
| 2021 | 85 | $4K | |
| 2022 | 130 | $7K | |
| 2023 | 38 | $3K |
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 | 66% | 237 | 236 | $25K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 30% | 486 | 477 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.0% | 13 | 13 | $1K |
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, THOMAS (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| Thomas a Simmons DDS Mary Anne Simmons DDS, PC | Port Sanilac, MI | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.