Simmons Eye Associates

Simmons Eye Associates was paid $16K by Medicaid between May 2020 and Oct 2023, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.

33Billing provider infoSIMMONS EYE ASSOCIATES
COLORADO SPRINGS, CO 80918

33aNPI1609498906assigned 05/11/2020

33bProvider typeOphthalmology Physician

28Total paid$16K

24GClaims261

24DCodes billed7

24AFirst – last monthMay 2020 – Oct 2023

Compared with peers

Next to other Ophthalmology Physician providers in Colorado

Rank by total paid#38 of 56

Median peer was paid$50K

This provider vs. median0.3×

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	188	$13K
2023	73	$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	28%	46	46	$5K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	23%	39	38	$4K
92250		22%	70	70	$4K
V2020	Frames, purchases	16%	42	41	$3K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	4.8%	13	13	$788.51
92340	Fitting of spectacles, except for aphakia; monofocal	4.5%	31	29	$743.96
92025		2.3%	20	20	$379.44

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 officialMAYLE, BRITTANY (MANAGER)

Parent organizationSIMMONS EYE ASSOCIATES