MICHAEL SIMMONS, M.D.
Ophthalmology Physician · OGDEN, UT
Individual Active NPI 1194256479
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 536 | 14,177 | $8,717,214 | $3,257,433 | $2,567,012 |
| 2023 | 452 | 5,232 | $3,415,768 | $1,543,866 | $1,228,614 |
| 2022 | 55 | 76 | $43,418 | $9,168 | $6,828 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0177 | Injection, aflibercept hd, 1 mg | 4,690 | $331 | $264 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 4,200 | $34 | $27 |
| 92134 | Imaging of retina | 1,248 | $39 | $27 |
| 67028 | Injection of drug into eye | 1,016 | $123 | $91 |
| J2782 | Injection, avacincaptad pegol, 0.1 mg | 880 | $108 | $86 |
| J0178 | Injection, aflibercept, 1 mg | 678 | $821 | $651 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 479 | $87 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 304 | $124 | $88 |
| J3490 | Unclassified drugs | 209 | $2,707 | $2,138 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 68 | $161 | $112 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 63 | $107 | $73 |
| 92250 | Photography of the retina | 62 | $34 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 13000441-1205 | UT |
| Ophthalmology Physician | 207W00000X | 23619 | NV | |
| Ophthalmology Physician | 207W00000X | 15234A | WY | |
| Ophthalmology Physician | 207W00000X | MED-PHYS-LIC-115061 | MT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in Utah
- NPI 1457333064
- NPI 1437416500
- NPI 1154574390
- NPI 1992123376
- NPI 1841200284
- NPI 1912989518
- NPI 1831171446
- NPI 1912001165
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.