Simon, Mikaela
Simon, Mikaela was paid $2K by Medicaid between Mar 2022 and Mar 2023, across 2 billing codes. Its largest line is 92015, Determination of refractive state — 60% of everything it billed.
33Billing provider infoSIMON, MIKAELA
NORTON, MA 02766
NORTON, MA 02766
33aNPI1518566793assigned 10/20/2020
33bProvider typeOptometrist
28Total paid$2K
24GClaims106
24DCodes billed2
24AFirst – last monthMar 2022 – Mar 2023
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#474 of 629
Median peer was paid$15K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 88 | $2K | |
| 2023 | 18 | $162.63 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 60% | 94 | 94 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 40% | 12 | 12 | $736.40 |
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.