Simons, Jeffrey

Simons, Jeffrey was paid $304K by Medicaid between Nov 2020 and Dec 2024, across 4 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 66% of everything it billed.

33Billing provider infoSIMONS, JEFFREY
PITTSBURGH, PA 15213

33aNPI1184746786assigned 04/04/2007

33bProvider typeOtolaryngology Physician

28Total paid$304K

24GClaims1,886

24DCodes billed4

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#17 of 136

Median peer was paid$13K

This provider vs. median23×

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
2020	43	$6K
2021	403	$54K
2022	345	$61K
2023	481	$85K
2024incomplete	614	$97K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	66%	858	856	$201K
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	21%	640	634	$65K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.3%	281	278	$19K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	6.2%	107	107	$19K

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.