Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BRAD D. SIMONS, MD,PHD, PA

NPI: 1477806115 · JUPITER, FL 33477 · Ophthalmology Physician · NPI assigned 10/18/2012

$1.25M
Total Medicaid Paid
27,269
Total Claims
22,922
Beneficiaries
19
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMONS, BRAD (PHYSICIAN/OWNER)
NPI Enumeration Date10/18/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 293 $15K
2019 5,184 $231K
2020 3,592 $174K
2021 4,701 $246K
2022 5,083 $263K
2023 6,035 $214K
2024 2,381 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6,011 5,075 $620K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 946 899 $217K
92083 1,964 1,742 $105K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 704 650 $103K
92060 8,643 6,946 $57K
95930 1,018 912 $57K
92273 1,037 931 $54K
92133 1,247 1,111 $18K
92250 1,966 1,747 $13K
92015 Determination of refractive state 1,741 1,631 $4K
99205 Prolong outpt/office vis 14 12 $1K
92202 628 573 $783.88
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 23 $685.00
92225 683 291 $332.54
92226 342 153 $295.83
92020 101 85 $144.75
68761 30 12 $46.47
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 138 99 $0.00
99499 30 30 $0.00