Simpson, Patricia

Simpson, Patricia was paid $13K by Medicaid between Mar 2018 and Sep 2019, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.

33Billing provider infoSIMPSON, PATRICIA
COAL CITY, IL 60416

33aNPI1649274366assigned 06/10/2005

33bProvider typeOptometrist

28Total paid$13K

24GClaims338

24DCodes billed5

24AFirst – last monthMar 2018 – Sep 2019

Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#766 of 1,069

Median peer was paid$56K

This provider vs. median0.2×

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	156	$6K
2019	182	$7K

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	31%	107	104	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	31%	92	82	$4K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	28%	61	50	$4K
92015	Determination of refractive state	7.1%	53	53	$951.64
V2025	Deluxe frame	2.2%	25	21	$298.90

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.