Simons, Michael
Simons, Michael was paid $464K by Medicaid between Jan 2018 and Dec 2023, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 67% of everything it billed.
33Billing provider infoSIMONS, MICHAEL
MISSOULA, MT 59801
MISSOULA, MT 59801
33aNPI1962592543assigned 10/13/2006
33bProvider typeOptometrist
28Total paid$464K
24GClaims10,093
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#22 of 113
Median peer was paid$95K
This provider vs. median4.9×
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 | 2,035 | $92K | |
| 2019 | 2,011 | $90K | |
| 2020 | 1,608 | $76K | |
| 2021 | 1,490 | $68K | |
| 2022 | 1,548 | $72K | |
| 2023 | 1,401 | $65K |
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 | 67% | 3,184 | 3,014 | $311K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 3,036 | 2,881 | $82K |
| 92015 | Determination of refractive state | 11% | 3,247 | 3,095 | $51K |
| 92341 | 4.1% | 611 | 597 | $19K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 15 | 14 | $799.59 |
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.