Simona L Moore CNP LLC

Simona L Moore CNP LLC was paid $837K by Medicaid between Jan 2018 and Feb 2022, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoSIMONA L MOORE CNP LLC
MOUNT VERNON, OH 43050

33aNPI1336487081assigned 01/30/2013

33bProvider typeFamily Nurse Practitioner

28Total paid$837K

24GClaims25,605

24DCodes billed27

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Family Nurse Practitioner providers in Ohio

Rank by total paid#8 of 365

Median peer was paid$4K

This provider vs. median208×

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	5,460	$231K
2019	5,039	$221K
2020	6,820	$186K
2021	7,190	$173K
2022	1,096	$26K

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	69%	10,518	9,615	$581K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	4,196	3,906	$158K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.6%	1,115	1,071	$55K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.4%	1,034	512	$12K
99406		1.2%	1,277	1,206	$10K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	536	522	$6K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	404	361	$4K
90686		<1%	152	148	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	28	28	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	103	98	$2K
36415	Collection of venous blood by venipuncture	<1%	579	555	$1K
S9470	Nutritional counseling, dietitian visit	<1%	63	62	$1K

15 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	43	$922.21
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	$800.72
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	36	$540.75
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	16	$507.60
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	19	$428.23
90674		<1%	17	$241.70
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	16	$143.09
81002		<1%	66	$141.55
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	15	$20.72
3074F		<1%	1,677	$0.12
3078F		<1%	62	$0.07
3077F		0%	15	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	1,579	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	2,004	$0.00
1036F		0%	23	$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.

From NPPES

Who's on the registration

Authorized officialMOORE, SIMONA (OWNER)