Physician
Li, Simon
Li, Simon was paid $1.97M by Medicaid between Oct 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoLI, SIMON
BROOKLYN, NY 11214
BROOKLYN, NY 11214
33aNPI1265751002assigned 05/19/2010
33bProvider typeAdult Medicine Physician
28Total paid$1.97M
24GClaims125,185
24DCodes billed64
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Adult Medicine Physician providers in New York
Rank by total paid#1 of 54
Median peer was paid$23K
This provider vs. median85×
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 | 87 | $7K | |
| 2019 | 1,204 | $61K | |
| 2020 | 8,800 | $164K | |
| 2021 | 23,421 | $377K | |
| 2022 | 36,005 | $523K | |
| 2023 | 29,228 | $418K | |
| 2024incomplete | 26,440 | $424K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 87% | 33,203 | 19,910 | $1.71M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 666 | 663 | $65K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 1,262 | 1,170 | $48K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.3% | 213 | 213 | $26K |
| 99051 | <1% | 3,859 | 3,310 | $18K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,213 | 1,188 | $15K |
| 93000 | <1% | 1,494 | 1,484 | $13K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 803 | 744 | $9K |
| 3078F | <1% | 11,463 | 7,261 | $9K | |
| 3074F | <1% | 8,982 | 5,696 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,797 | 1,566 | $7K |
| 90688 | <1% | 1,493 | 1,493 | $7K |
52 more codes
| 81000 | <1% | 2,800 | $5K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,199 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,530 | $3K |
| 36410 | <1% | 1,939 | $3K | |
| 0064A | <1% | 164 | $3K | |
| 90674 | <1% | 203 | $2K | |
| 3079F | <1% | 3,162 | $2K | |
| 3075F | <1% | 3,693 | $2K | |
| 99397 | <1% | 1,166 | $2K | |
| 96127 | <1% | 900 | $2K | |
| 3077F | <1% | 2,590 | $1K | |
| 90658 | <1% | 202 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 896 | $958.50 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 17 | $694.76 |
| 99490 | Ccm add 20min | <1% | 249 | $640.90 |
| 0124A | <1% | 50 | $571.89 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,630 | $464.91 |
| 90686 | <1% | 73 | $464.80 | |
| 99072 | <1% | 1,587 | $396.00 | |
| 90756 | <1% | 19 | $385.26 | |
| 3080F | <1% | 406 | $372.50 | |
| 1159F | <1% | 10,872 | $338.41 | |
| 1160F | <1% | 10,873 | $335.31 | |
| 0134A | <1% | 50 | $326.07 | |
| 99497 | <1% | 17 | $234.64 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 121 | $186.92 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 46 | $71.54 |
| 3044F | <1% | 651 | $60.00 | |
| 81002 | <1% | 39 | $50.90 | |
| 3051F | <1% | 51 | $40.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 1,101 | $32.23 |
| 99000 | <1% | 609 | $30.12 | |
| 82043 | <1% | 157 | $16.83 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 475 | $6.00 |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 448 | $6.00 |
| 3016F | 0% | 536 | $0.00 | |
| 3725F | 0% | 669 | $0.00 | |
| 91312 | 0% | 49 | $0.00 | |
| 91313 | 0% | 48 | $0.00 | |
| 0013A | 0% | 16 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,810 | $0.00 |
| 1000F | 0% | 551 | $0.00 | |
| 3008F | 0% | 1,822 | $0.00 | |
| 97802 | 0% | 168 | $0.00 | |
| 1170F | 0% | 114 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 143 | $0.00 |
| 1036F | 0% | 504 | $0.00 | |
| 91306 | 0% | 128 | $0.00 | |
| 1125F | 0% | 133 | $0.00 | |
| 91301 | 0% | 17 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 28 | $0.00 |
| 90694 | 0% | 16 | $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.