Physician
Simo, Rosmery
Simo, Rosmery was paid $15K by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99497, — 49% of everything it billed.
33Billing provider infoSIMO, ROSMERY
BRONX, NY 10460
BRONX, NY 10460
33aNPI1154542579assigned 05/01/2007
33bProvider typeInternal Medicine Physician
28Total paid$15K
24GClaims22,505
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#2,738 of 6,049
Median peer was paid$11K
This provider vs. median1.4×
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 | 1,014 | $1K | |
| 2019 | 312 | $195.33 | |
| 2021 | 9,129 | $2K | |
| 2022 | 5,810 | $1K | |
| 2024incomplete | 6,240 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99497 | 49% | 112 | 112 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 908 | 855 | $3K |
| H0001 | Alcohol and/or drug assessment | 6.5% | 1,104 | 974 | $1K |
| 93000 | 6.5% | 68 | 68 | $996.60 | |
| 3078F | 5.6% | 830 | 767 | $865.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 232 | 227 | $456.35 |
| 3074F | 2.7% | 606 | 580 | $420.00 | |
| 81005 | 2.4% | 188 | 185 | $365.76 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 52 | 52 | $226.97 |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 795 | 775 | $159.12 |
| 1159F | <1% | 1,134 | 1,016 | $115.00 | |
| 1160F | <1% | 1,080 | 977 | $100.00 |
41 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 658 | $46.00 |
| 94016 | <1% | 51 | $45.00 | |
| 1126F | <1% | 350 | $35.00 | |
| 3079F | <1% | 54 | $27.50 | |
| 1125F | <1% | 86 | $20.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 934 | $10.00 |
| 3008F | <1% | 1,259 | $0.01 | |
| 3725F | 0% | 842 | $0.00 | |
| 1033F | 0% | 527 | $0.00 | |
| 3016F | 0% | 866 | $0.00 | |
| 0521F | 0% | 57 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 285 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 339 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 509 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 878 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 16 | $0.00 |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 13 | $0.00 |
| 1158F | 0% | 132 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 144 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 93 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 118 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 88 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 53 | $0.00 |
| 97803 | 0% | 30 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 937 | $0.00 |
| 2010F | 0% | 1,274 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 347 | $0.00 |
| 1000F | 0% | 794 | $0.00 | |
| 0001F | 0% | 479 | $0.00 | |
| 2000F | 0% | 646 | $0.00 | |
| 1036F | 0% | 111 | $0.00 | |
| 3011F | 0% | 152 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 709 | $0.00 |
| 2001F | 0% | 1,268 | $0.00 | |
| 1157F | 0% | 132 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 28 | $0.00 |
| 3066F | 0% | 46 | $0.00 | |
| 3754F | 0% | 46 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 13 | $0.00 |
| 96127 | 0% | 20 | $0.00 | |
| 3061F | 0% | 12 | $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.