Simon, Segun

Simon, Segun was paid $26K by Medicaid between Mar 2018 and Oct 2024, across 5 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 56% of everything it billed.

33Billing provider infoSIMON, SEGUN
MAPLEWOOD, NJ 07040

33aNPI1194956490assigned 08/04/2009

33bProvider typeNephrology Physician

28Total paid$26K

24GClaims712

24DCodes billed5

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in New Jersey

Rank by total paid#71 of 117

Median peer was paid$38K

This provider vs. median0.7×

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	331	$7K
2019	12	$765.65
2020	53	$4K
2021	156	$10K
2024incomplete	160	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	56%	208	208	$14K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	26%	331	85	$7K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	14%	148	28	$3K
99223	Prolong inpt eval add15 m	3.0%	12	12	$755.63
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	1.2%	13	12	$317.67

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.