Simon Lipetz MD. P.C
Simon Lipetz MD. P.C was paid $742K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoSIMON LIPETZ MD. P.C
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
33aNPI1235338138assigned 07/12/2007
33bProvider typeLegal Medicine
28Total paid$742K
24GClaims20,830
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Legal Medicine providers in New York
Rank by total paid#23 of 126
Median peer was paid$98K
This provider vs. median7.5×
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 | 2,215 | $77K | |
| 2019 | 2,225 | $74K | |
| 2020 | 4,382 | $135K | |
| 2021 | 4,237 | $139K | |
| 2022 | 3,053 | $110K | |
| 2023 | 2,800 | $120K | |
| 2024incomplete | 1,918 | $86K |
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 | 37% | 2,986 | 2,742 | $271K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,975 | 2,576 | $177K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 18% | 4,068 | 2,408 | $132K |
| 99442 | 3.1% | 361 | 324 | $23K | |
| 94010 | 2.7% | 925 | 913 | $20K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.5% | 322 | 145 | $19K |
| 91320 | 2.3% | 133 | 132 | $17K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.9% | 452 | 425 | $14K |
| 93000 | 1.8% | 1,144 | 1,119 | $13K | |
| 90756 | 1.1% | 273 | 271 | $9K | |
| 90688 | <1% | 372 | 367 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 836 | 815 | $7K |
26 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 361 | $7K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 261 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 498 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 232 | $3K |
| 90678 | <1% | 13 | $2K | |
| 81002 | <1% | 1,375 | $2K | |
| 90480 | <1% | 133 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 151 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,898 | $1K |
| 90674 | <1% | 47 | $1K | |
| 93701 | <1% | 39 | $817.93 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 30 | $677.32 |
| 90656 | <1% | 22 | $512.94 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 345 | $349.80 |
| 90686 | <1% | 19 | $343.09 | |
| 81000 | <1% | 102 | $280.37 | |
| 92567 | <1% | 12 | $127.89 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $102.55 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | $89.59 |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 214 | $88.73 |
| J3411 | Injection, thiamine hcl, 100 mg | <1% | 39 | $72.18 |
| J0610 | Injection, calcium gluconate (fresenius kabi), per 10 ml | <1% | 13 | $45.23 |
| 81025 | <1% | 27 | $41.57 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 13 | $7.31 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 16 | $1.24 |
| 99072 | 0% | 76 | $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.
From NPPES
Who's on the registration
Authorized officialLIPETZ, SIMON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Li Medical of NY PC | Forest Hills, NY | $117K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.