Simeone, Michael
Simeone, Michael was paid $52K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92015, Determination of refractive state — 53% of everything it billed.
33Billing provider infoSIMEONE, MICHAEL
EAST LYME, CT 06333
EAST LYME, CT 06333
33aNPI1700942828assigned 01/01/2007
33bProvider typeOptometrist
28Total paid$52K
24GClaims2,074
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#214 of 340
Median peer was paid$125K
This provider vs. median0.4×
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 | 344 | $4K | |
| 2019 | 216 | $7K | |
| 2020 | 279 | $8K | |
| 2021 | 221 | $8K | |
| 2022 | 373 | $9K | |
| 2023 | 377 | $9K | |
| 2024incomplete | 264 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 53% | 946 | 852 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 253 | 230 | $11K |
| V2020 | Frames, purchases | 10% | 210 | 197 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.3% | 150 | 137 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.4% | 134 | 126 | $2K |
| 92060 | 2.2% | 40 | 39 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.1% | 18 | 18 | $1K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 12 | 12 | $309.54 |
| V2025 | Deluxe frame | <1% | 107 | 100 | $0.03 |
| 1036F | 0% | 102 | 84 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 102 | 84 | $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.