Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SIMON-GOLDMAN, PHYLLIS

NPI: 1245431477 · HOLBROOK, NY 11741 · Pediatric Adolescent Medicine Physician · NPI assigned 05/28/2007

$14K
Total Medicaid Paid
263
Total Claims
259
Beneficiaries
5
Codes Billed
2021-08
First Month
2022-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 106 $3K
2022 157 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54 51 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 118 117 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31 31 $3K
90461 26 26 $1K
96127 34 34 $0.00