Simmons, Robert
Simmons, Robert was paid $3K by Medicaid between Feb 2020 and Feb 2021, across 2 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 60% of everything it billed.
33Billing provider infoSIMMONS, ROBERT
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
33aNPI1689633877assigned 03/17/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims181
24DCodes billed2
24AFirst – last monthFeb 2020 – Feb 2021
Compared with peers
Next to other Optometrist providers in Utah
Rank by total paid#76 of 130
Median peer was paid$6K
This provider vs. median0.6×
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 | 168 | $3K | |
| 2021 | 13 | $0.00 |
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 | 60% | 21 | 21 | $2K |
| 92015 | Determination of refractive state | 40% | 160 | 157 | $1K |
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.