Simms, Susan

Simms, Susan was paid $116K by Medicaid between Dec 2020 and Oct 2023, across 2 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 58% of everything it billed.

33Billing provider infoSIMMS, SUSAN
EAST SETAUKET, NY 11733

33aNPI1013110360assigned 06/06/2007

33bProvider typeClinical Social Worker

28Total paid$116K

24GClaims1,344

24DCodes billed2

24AFirst – last monthDec 2020 – Oct 2023

Compared with peers

Next to other Clinical Social Worker providers in New York

Rank by total paid#323 of 882

Median peer was paid$53K

This provider vs. median2.2×

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	46	$5K
2021	709	$67K
2022	437	$32K
2023	152	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	58%	905	277	$67K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	42%	439	135	$49K

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.