Physician
Simon, Valeria
Simon, Valeria was paid $179K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoSIMON, VALERIA
WINFIELD, IL 60190
WINFIELD, IL 60190
33aNPI1366679060assigned 06/19/2009
33bProvider typeObstetrics & Gynecology Physician
28Total paid$179K
24GClaims4,498
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Illinois
Rank by total paid#181 of 911
Median peer was paid$41K
This provider vs. median4.4×
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 | 673 | $19K | |
| 2019 | 1,001 | $29K | |
| 2020 | 525 | $17K | |
| 2021 | 678 | $33K | |
| 2022 | 619 | $36K | |
| 2023 | 595 | $27K | |
| 2024incomplete | 407 | $17K |
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 | 34% | 794 | 696 | $60K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 29% | 1,740 | 1,523 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 796 | 568 | $28K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 9.0% | 309 | 280 | $16K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.7% | 362 | 304 | $10K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.8% | 433 | 223 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.0% | 26 | 25 | $4K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 38 | 29 | $1K |
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.