Simmons, Martin
Simmons, Martin was paid $70K by Medicaid between May 2020 and Nov 2022, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 45% of everything it billed.
33Billing provider infoSIMMONS, MARTIN
KETTERING, OH 45429
KETTERING, OH 45429
33aNPI1588696280assigned 07/06/2006
33bProvider typeOptometrist
28Total paid$70K
24GClaims4,007
24DCodes billed8
24AFirst – last monthMay 2020 – Nov 2022
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#422 of 1,098
Median peer was paid$41K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2020 | 847 | $16K | |
| 2021 | 1,646 | $28K | |
| 2022 | 1,514 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 45% | 727 | 727 | $31K |
| V2020 | Frames, purchases | 17% | 701 | 691 | $12K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 268 | 268 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 532 | 523 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.1% | 348 | 339 | $4K |
| V2025 | Deluxe frame | 1.9% | 79 | 79 | $1K |
| V2755 | U-v lens, per lens | 0% | 260 | 260 | $0.00 |
| 92015 | Determination of refractive state | 0% | 1,092 | 1,092 | $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.