Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SIMO, ROSMERY

NPI: 1154542579 · BRONX, NY 10460 · Internal Medicine Physician · NPI assigned 05/01/2007

$15K
Total Medicaid Paid
22,505
Total Claims
20,483
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,014 $1K
2019 312 $195.33
2021 9,129 $2K
2022 5,810 $1K
2024 6,240 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99497 112 112 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 908 855 $3K
H0001 Alcohol and/or drug assessment 1,104 974 $1K
93000 68 68 $996.60
3078F 830 767 $865.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 232 227 $456.35
3074F 606 580 $420.00
81005 188 185 $365.76
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 52 52 $226.97
36415 Collection of venous blood by venipuncture 795 775 $159.12
1159F 1,134 1,016 $115.00
1160F 1,080 977 $100.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 658 595 $46.00
94016 51 51 $45.00
1126F 350 318 $35.00
3079F 54 54 $27.50
1125F 86 80 $20.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 934 830 $10.00
3008F 1,259 1,115 $0.01
3725F 842 737 $0.00
1033F 527 454 $0.00
3016F 866 756 $0.00
0521F 57 53 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 285 252 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 339 312 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 509 459 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 878 805 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 16 13 $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 13 13 $0.00
1158F 132 132 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 144 143 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 93 89 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 118 107 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 88 88 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 53 53 $0.00
97803 30 25 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 937 858 $0.00
2010F 1,274 1,131 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 347 316 $0.00
1000F 794 732 $0.00
0001F 479 400 $0.00
2000F 646 616 $0.00
1036F 111 110 $0.00
3011F 152 150 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 709 630 $0.00
2001F 1,268 1,121 $0.00
1157F 132 132 $0.00
80053 Comprehensive metabolic panel 28 28 $0.00
3066F 46 46 $0.00
3754F 46 46 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 13 13 $0.00
96127 20 20 $0.00
3061F 12 12 $0.00