Desimone, Jeffrey
Desimone, Jeffrey was paid $170K by Medicaid between Oct 2020 and Dec 2024, across 10 billing codes. Its largest line is V2020, Frames, purchases — 41% of everything it billed.
33Billing provider infoDESIMONE, JEFFREY
NEW CASTLE, PA 16105
NEW CASTLE, PA 16105
33aNPI1982600243assigned 06/22/2005
33bProvider typeOptometrist
28Total paid$170K
24GClaims4,626
24DCodes billed10
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#155 of 983
Median peer was paid$20K
This provider vs. median8.4×
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 | |
|---|---|---|---|
| 2020 | 217 | $9K | |
| 2021 | 1,116 | $45K | |
| 2022 | 950 | $36K | |
| 2023 | 966 | $36K | |
| 2024incomplete | 1,377 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 41% | 1,400 | 1,342 | $70K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 17% | 725 | 599 | $28K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 14% | 787 | 751 | $24K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 12% | 704 | 691 | $21K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.9% | 265 | 260 | $10K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.9% | 165 | 145 | $5K |
| 92002 | 2.4% | 101 | 98 | $4K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.4% | 302 | 212 | $4K |
| V2025 | Deluxe frame | 2.2% | 81 | 78 | $4K |
| 92015 | Determination of refractive state | <1% | 96 | 93 | $777.35 |
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.