Simpson, Charles
Simpson, Charles was paid $256K by Medicaid between Jan 2018 and Aug 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoSIMPSON, CHARLES
LEITCHFIELD, KY 42754
LEITCHFIELD, KY 42754
33aNPI1952410524assigned 08/29/2006
33bProvider typeOptometrist
28Total paid$256K
24GClaims6,732
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#217 of 683
Median peer was paid$123K
This provider vs. median2.1×
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 | 4,371 | $160K | |
| 2019 | 2,101 | $84K | |
| 2020 | 12 | $202.20 | |
| 2022 | 127 | $9K | |
| 2024incomplete | 121 | $2K |
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 | 38% | 1,417 | 1,372 | $97K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 460 | 442 | $41K |
| V2020 | Frames, purchases | 12% | 1,203 | 1,138 | $30K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 933 | 900 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 608 | 507 | $21K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.6% | 867 | 823 | $19K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.0% | 662 | 630 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.7% | 232 | 212 | $4K |
| 92370 | 1.6% | 143 | 137 | $4K | |
| 92015 | Determination of refractive state | <1% | 165 | 156 | $917.04 |
| 92250 | <1% | 15 | 12 | $475.69 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 14 | 14 | $295.20 |
1 more codes
| V2715 | Prism, per lens | 0% | 13 | $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.