Medicaid Provider Spending

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

SIMON, MARY

NPI: 1326166125 · FARMINGTON, CT 06032 · Pediatric Adolescent Medicine Physician · NPI assigned 03/27/2007

$54K
Total Medicaid Paid
1,202
Total Claims
1,067
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 152 $8K
2019 170 $9K
2020 181 $7K
2021 226 $7K
2022 217 $11K
2023 141 $5K
2024 115 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 236 205 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 276 235 $18K
90460 Immunization administration through 18 years of age via any route, first or only component 281 258 $7K
96160 187 168 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $2K
96127 30 27 $468.00
90686 178 160 $19.03