Simionescu, Monica

Simionescu, Monica was paid $47K by Medicaid between Jan 2018 and Oct 2020, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoSIMIONESCU, MONICA
JANESVILLE, WI 53546

33aNPI1184776403assigned 01/17/2007

33bProvider typeNeurology Physician

28Total paid$47K

24GClaims1,519

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Neurology Physician providers in Wisconsin

Rank by total paid#10 of 31

Median peer was paid$8K

This provider vs. median5.6×

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	372	$11K
2019	659	$22K
2020	488	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	69%	937	842	$33K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	11%	88	84	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10.0%	185	168	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.4%	113	63	$2K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	2.6%	86	81	$1K
99223	Prolong inpt eval add15 m	1.5%	27	26	$691.38
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.1%	13	13	$500.86
95816		<1%	70	66	$402.00

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.