Simon, Mary

Simon, Mary was paid $54K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoSIMON, MARY
FARMINGTON, CT 06032

33aNPI1326166125assigned 03/27/2007

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$54K

24GClaims1,202

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Connecticut

Rank by total paid#14 of 16

Median peer was paid$839K

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

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%	236	205	$24K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	276	235	$18K
90460	Immunization administration through 18 years of age via any route, first or only component	13%	281	258	$7K
96160		5.5%	187	168	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.9%	14	14	$2K
96127		<1%	30	27	$468.00
90686		<1%	178	160	$19.03

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.