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

Simon Ka Chun So, M.D., Professional Medical INC.

Simon Ka Chun So, M.D., Professional Medical INC. was paid $437K by Medicaid between Jan 2023 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoSIMON KA CHUN SO, M.D., PROFESSIONAL MEDICAL INC.
IRVINE, CA 92604
33aNPI1003586801assigned 09/14/2021
28Total paid$437K
24GClaims6,097
24DCodes billed18
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in California

Rank by total paid#78 of 422
Median peer was paid$25K
This provider vs. median18×

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$25K$50K$75K2018201920202021202220232024
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
2023891$20K
2024incomplete5,206$416K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46% 2,375 1,958 $200K
99386 8.1% 212 212 $35K
99385 7.8% 214 214 $34K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6.3% 205 188 $28K
96156 5.6% 274 273 $24K
93000 5.2% 634 633 $23K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.1% 247 230 $22K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4.3% 135 127 $19K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.1% 155 153 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.9% 305 283 $17K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2.1% 614 610 $9K
99397 <1% 29 26 $4K
6 more codes
99387 <1% 15 $3K
99205 Prolong outpt/office vis <1% 13 $339.00
3078F 0% 146 $0.00
1160F 0% 190 $0.00
1159F 0% 190 $0.00
3074F 0% 144 $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.

From NPPES

Who's on the registration

Authorized officialSO, SIMON (DIRECTOR)