Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Fensterszaub, Simon

Fensterszaub, Simon was paid $231K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 32% of everything it billed.

33Billing provider infoFENSTERSZAUB, SIMON
BROOKLYN, NY 11249
33aNPI1003077322assigned 06/19/2008
28Total paid$231K
24GClaims13,436
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#369 of 2,605
Median peer was paid$10K
This provider vs. median23×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018454$7K
201934$0.00
2020861$20K
20211,712$34K
20223,524$67K
20235,203$78K
2024incomplete1,648$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99308 Subsequent nursing facility care, per day, straightforward 32% 3,301 3,157 $73K
99305 22% 1,500 1,415 $50K
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 13% 372 372 $29K
99490 Ccm add 20min 8.0% 2,919 2,870 $19K
99309 Subsequent nursing facility care, per day, low to moderate complexity 6.8% 518 502 $16K
99439 5.6% 1,744 1,735 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4.4% 1,070 551 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.9% 154 131 $7K
99424 1.2% 162 162 $3K
99304 1.1% 93 93 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 191 116 $2K
99307 <1% 85 69 $1K
20 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 45 $1K
99203 Doctor's office visit, new patient (routine) <1% 12 $1K
99425 <1% 65 $770.55
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 316 $758.50
99484 <1% 87 $559.72
43762 <1% 59 $311.99
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 37 $144.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 18 $138.00
99491 Ccm add 20min <1% 167 $91.26
87070 0% 29 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 18 $0.00
99426 0% 73 $0.00
99427 0% 57 $0.00
99050 0% 47 $0.00
87184 0% 29 $0.00
94760 0% 132 $0.00
99493 0% 44 $0.00
99492 0% 38 $0.00
36410 0% 34 $0.00
99494 0% 20 $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.