Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Simons, Brad

Simons, Brad was paid $4.01M by Medicaid between Nov 2018 and Dec 2024, across 25 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 44% of everything it billed.

33Billing provider infoSIMONS, BRAD
JUPITER, FL 33477
33aNPI1801874896assigned 01/09/2006
28Total paid$4.01M
24GClaims103,521
24DCodes billed25
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Pediatric Ophthalmology and Strabismus Specialist Physician Physician providers in Florida

Rank by total paid#1 of 7
Median peer was paid$16K
This provider vs. median252×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018743$30K
201911,336$504K
202010,663$442K
202115,369$623K
202224,679$732K
202322,301$958K
2024incomplete18,430$716K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 44% 12,882 10,843 $1.75M
92273 17% 6,203 2,729 $686K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 2,219 2,024 $529K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9.8% 1,708 1,544 $392K
92340 Fitting of spectacles, except for aphakia; monofocal 3.5% 3,739 3,623 $142K
92060 3.4% 27,090 14,049 $137K
68761 2.6% 750 328 $106K
95930 2.0% 6,236 2,736 $79K
92083 1.3% 8,706 4,037 $52K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 141 135 $37K
92133 <1% 7,042 3,108 $30K
92250 <1% 8,071 4,039 $26K
13 more codes
92015 Determination of refractive state <1% 4,246 $13K
99205 Prolong outpt/office vis <1% 38 $11K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 3,736 $7K
V2020 Frames, purchases <1% 3,409 $5K
92202 <1% 1,669 $5K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 3,482 $2K
92226 <1% 677 $40.00
92020 <1% 188 $21.72
V2755 U-v lens, per lens 0% 32 $0.00
92225 0% 1,009 $0.00
V2025 Deluxe frame 0% 23 $0.00
V2760 Scratch resistant coating, per lens 0% 173 $0.00
92134 0% 52 $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.