Lim, Simon

Lim, Simon was paid $24K by Medicaid between Mar 2018 and Jan 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoLIM, SIMON
CARROLLTON, TX 75007

33aNPI1093711285assigned 06/22/2005

33bProvider typeFamily Medicine Physician

28Total paid$24K

24GClaims1,917

24DCodes billed7

24AFirst – last monthMar 2018 – Jan 2024

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#643 of 1,204

Median peer was paid$31K

This provider vs. median0.8×

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
2018	692	$6K
2019	773	$9K
2020	209	$5K
2021	98	$2K
2022	79	$1K
2023	52	$1K
2024incomplete	14	$264.07

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	87%	917	788	$21K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	9.7%	480	425	$2K
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%	47	44	$695.26
90662		0%	70	70	$0.00
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	0%	16	16	$0.00
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	0%	318	306	$0.00
G0008	Administration of influenza virus vaccine	0%	69	69	$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.