Simon-Goldman, Phyllis

Simon-Goldman, Phyllis was paid $14K by Medicaid between Aug 2021 and Oct 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoSIMON-GOLDMAN, PHYLLIS
HOLBROOK, NY 11741

33aNPI1245431477assigned 05/28/2007

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$14K

24GClaims263

24DCodes billed5

24AFirst – last monthAug 2021 – Oct 2022

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New York

Rank by total paid#108 of 161

Median peer was paid$100K

This provider vs. median0.1×

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
2021	106	$3K
2022	157	$11K

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	44%	54	51	$6K
90460	Immunization administration through 18 years of age via any route, first or only component	29%	118	117	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	31	31	$3K
90461		8.8%	26	26	$1K
96127		0%	34	34	$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.