Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SIMEONE, MICHAEL

NPI: 1700942828 · EAST LYME, CT 06333 · Optometrist · NPI assigned 01/01/2007

$52K
Total Medicaid Paid
2,074
Total Claims
1,879
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 344 $4K
2019 216 $7K
2020 279 $8K
2021 221 $8K
2022 373 $9K
2023 377 $9K
2024 264 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 946 852 $27K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 253 230 $11K
V2020 Frames, purchases 210 197 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 150 137 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 134 126 $2K
92060 40 39 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 18 18 $1K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 12 12 $309.54
V2025 Deluxe frame 107 100 $0.03
1036F 102 84 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 102 84 $0.00