Physician
Brad D. Simons, Md,phd, PA
Brad D. Simons, Md,phd, PA was paid $1.25M by Medicaid between Feb 2018 and Dec 2024, across 19 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 50% of everything it billed.
33Billing provider infoBRAD D. SIMONS, MD,PHD, PA
JUPITER, FL 33477
JUPITER, FL 33477
33aNPI1477806115assigned 10/18/2012
33bProvider typeOphthalmology Physician
28Total paid$1.25M
24GClaims27,269
24DCodes billed19
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Florida
Rank by total paid#2 of 262
Median peer was paid$9K
This provider vs. median144×
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 | 293 | $15K | |
| 2019 | 5,184 | $231K | |
| 2020 | 3,592 | $174K | |
| 2021 | 4,701 | $246K | |
| 2022 | 5,083 | $263K | |
| 2023 | 6,035 | $214K | |
| 2024incomplete | 2,381 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 50% | 6,011 | 5,075 | $620K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 946 | 899 | $217K |
| 92083 | 8.4% | 1,964 | 1,742 | $105K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.2% | 704 | 650 | $103K |
| 92060 | 4.6% | 8,643 | 6,946 | $57K | |
| 95930 | 4.5% | 1,018 | 912 | $57K | |
| 92273 | 4.3% | 1,037 | 931 | $54K | |
| 92133 | 1.5% | 1,247 | 1,111 | $18K | |
| 92250 | 1.0% | 1,966 | 1,747 | $13K | |
| 92015 | Determination of refractive state | <1% | 1,741 | 1,631 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 14 | 12 | $1K |
| 92202 | <1% | 628 | 573 | $783.88 |
7 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $685.00 |
| 92225 | <1% | 683 | $332.54 | |
| 92226 | <1% | 342 | $295.83 | |
| 92020 | <1% | 101 | $144.75 | |
| 68761 | <1% | 30 | $46.47 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 138 | $0.00 |
| 99499 | 0% | 30 | $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 officialSIMONS, BRAD (PHYSICIAN/OWNER)