Simons, Sandra

Simons, Sandra was paid $7K by Medicaid between Jan 2018 and Aug 2018, across 3 billing codes. Its largest line is 99283, emergency room visit (moderate) — 65% of everything it billed.

33Billing provider infoSIMONS, SANDRA
HOPEWELL, VA 23860

33aNPI1124043518assigned 07/13/2006

33bProvider typeEmergency Medicine Physician

28Total paid$7K

24GClaims172

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Emergency Medicine Physician providers in Virginia

Rank by total paid#202 of 447

Median peer was paid$6K

This provider vs. median1.3×

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	172	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	65%	117	112	$5K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	35%	31	29	$2K
99053		0%	24	24	$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.