Simon, Stephen

Simon, Stephen was paid $12K by Medicaid between Jan 2018 and Sep 2021, across 7 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 48% of everything it billed.

33Billing provider infoSIMON, STEPHEN
MISSION VIEJO, CA 92691

33aNPI1285618389assigned 12/01/2005

33bProvider typeDiagnostic Radiology Physician

28Total paid$12K

24GClaims2,016

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Diagnostic Radiology Physician providers in California

Rank by total paid#346 of 797

Median peer was paid$6K

This provider vs. median2.1×

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
2018	578	$2K
2019	817	$5K
2020	324	$3K
2021	297	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
77067	Screening mammography, bilateral, including computer-aided detection	48%	808	808	$6K
77063	Screening digital breast tomosynthesis, bilateral	33%	792	790	$4K
76642		7.4%	185	138	$859.27
76641		6.7%	79	46	$781.00
77066	Tomosynthesis, mammo	2.5%	38	38	$292.04
77080		1.7%	101	101	$200.92
77062		0%	13	13	$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.