Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Elizabeth Simmons (NPI 1619980828)

Field	Value
Entity Type	Individual
Organization	Elizabeth Simmons
Address	263 Farmington Ave
City	Farmington
State	CT
ZIP	06030
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicare	$205.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	210	$700	$148.9K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	350	$70	$25.1K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	190	$90	$16.1K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	280	$30	$9.3K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	50	$100	$4.4K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	10	$100	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Elizabeth Simmons — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	36	40	830	$690	$713.1K
67028	39	50	540	$100	$66.4K
92014	436	580	100	$90	$18.6K
92012	60	300	120	$70	$15.2K
92134	46	320	60	$30	$7.7K
92004	346	410	30	$110	$5.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Elizabeth Simmons, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Connecticut	CT	General Acute Care Hospital	$0	$205.8M
University Of Connecticut Health Center	CT	General Practice Physician	$0	$34.8M
University Dentists	CT	Dental Clinic/Center	$0	$13.8M
State Of Connecticut	CT	Psychiatric Hospital	$0	$3.6M
Michael Ruddat	CT	Ophthalmology Physician	$2.7M	$0
Asad Nasir	FL	Nuclear Medicine Physician	$2.2M	$0
Thomas Ward	CT	Ophthalmology Physician	$1.3M	$0
Jonathan Moseley	CT	Internal Medicine Physician	$740	$1.2M
Hanspaul Makkar	CT	MOHS-Micrographic Surgery Physician	$1M	$0
University Of Connecticut Health Center	CT	Clinical Medical Laboratory	$396.3K	$580.4K

Nearby Providers

Other providers in the same ZIP code as Elizabeth Simmons, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Grund	CT	Hematology (Internal Medicine) Physician	$0	$1.4M
Gayle Klein	CT	Psychiatry Physician	$0	$1.3M
Tamer Ghaly	CT	Pain Medicine (Anesthesiology) Physician	$585.8K	$0
Amish Patel	CT	Diagnostic Radiology Physician	$284.6K	$0
Daniel Witmer	CT	Orthopaedic Surgery Physician	$214.5K	$0
Asante Mendes	CT	Psychiatry Physician	$196.7K	$0
Naveed Alvi	CT	Diagnostic Radiology Physician	$131.1K	$0
Hilary Onyiuke	CT	Neurological Surgery Physician	$120.6K	$0
Joseph O'keefe	CT	Physical Medicine & Rehabilitation Physician	$120.2K	$0
Douglas Ridyard	CT	Urology Physician	$98.4K	$0

Elizabeth Simmons — Billing Profile & Reimbursement Data

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Elizabeth Simmons — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References