Simmons Eye Associates
Simmons Eye Associates was paid $3.32M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 92250, — 13% of everything it billed.
33Billing provider infoSIMMONS EYE ASSOCIATES
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
33aNPI1932517869assigned 07/23/2014
33bProvider typeOptometrist
28Total paid$3.32M
24GClaims75,525
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#24 of 425
Median peer was paid$49K
This provider vs. median67×
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 | 12,968 | $602K | |
| 2019 | 13,201 | $549K | |
| 2020 | 10,960 | $509K | |
| 2021 | 13,612 | $483K | |
| 2022 | 9,389 | $464K | |
| 2023 | 8,993 | $416K | |
| 2024incomplete | 6,402 | $300K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 13% | 9,974 | 8,975 | $424K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 5,654 | 5,053 | $424K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 5,872 | 5,123 | $398K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.7% | 3,077 | 2,873 | $323K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 6,357 | 5,278 | $314K |
| 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 | 8.9% | 2,467 | 2,231 | $295K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.6% | 6,142 | 4,839 | $287K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 3.5% | 1,201 | 900 | $118K |
| 92285 | 2.8% | 9,526 | 7,948 | $95K | |
| 92133 | 2.6% | 3,221 | 2,891 | $85K | |
| 92083 | 2.4% | 2,481 | 2,218 | $79K | |
| V2020 | Frames, purchases | 2.1% | 2,127 | 1,635 | $70K |
28 more codes
| 68761 | 2.1% | 977 | $69K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 1.5% | 173 | $50K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 1,097 | $41K |
| A4263 | Permanent, long term, non-dissolvable lacrimal duct implant, each | 1.1% | 537 | $35K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,833 | $29K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 389 | $29K |
| 92134 | <1% | 1,397 | $27K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,926 | $25K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 250 | $21K |
| 92136 | <1% | 631 | $17K | |
| 92020 | <1% | 702 | $11K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 224 | $9K |
| 93892 | <1% | 48 | $8K | |
| 93890 | <1% | 48 | $8K | |
| 92025 | <1% | 381 | $5K | |
| 93886 | <1% | 48 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 54 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 130 | $4K |
| 76514 | <1% | 370 | $3K | |
| 92015 | Determination of refractive state | <1% | 1,918 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 60 | $2K |
| 66821 | <1% | 16 | $2K | |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 26 | $2K |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | <1% | 19 | $2K |
| 92132 | <1% | 14 | $399.56 | |
| 92341 | <1% | 17 | $340.32 | |
| V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | <1% | 12 | $128.64 |
| 99072 | <1% | 4,129 | $49.17 |
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.
From NPPES
Who's on the registration
Authorized officialSIMMONS, BLAKE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Colorado Vision | Colorado Springs, CO | $255K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.