Simon, Karen

Simon, Karen was paid $49K by Medicaid between Oct 2018 and Oct 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 70% of everything it billed.

33Billing provider infoSIMON, KAREN
NEW YORK, NY 10003

33aNPI1124138557assigned 08/30/2006

33bProvider typeHematology & Oncology Physician

28Total paid$49K

24GClaims3,011

24DCodes billed5

24AFirst – last monthOct 2018 – Oct 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in New York

Rank by total paid#98 of 441

Median peer was paid$9K

This provider vs. median5.2×

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
2018	30	$520.20
2019	379	$6K
2020	523	$9K
2021	377	$7K
2022	706	$10K
2023	552	$10K
2024incomplete	444	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	70%	2,355	955	$34K
99239	Hospital discharge day management, more than 30 minutes	18%	368	360	$9K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	10.0%	245	115	$5K
99238	Hospital discharge day management, 30 minutes or less	<1%	31	31	$454.68
99222	Initial hospital care, per day, moderate complexity	<1%	12	12	$438.90

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.