Physician
Simon MD PA
Simon MD PA was paid $135K by Medicaid between Oct 2022 and Aug 2024, across 6 billing codes. Its largest line is 95816, — 47% of everything it billed.
33Billing provider infoSIMON MD PA
MIAMI, FL 33174
MIAMI, FL 33174
33aNPI1376806554assigned 06/21/2012
33bProvider typeClinical Neurophysiology Physician
28Total paid$135K
24GClaims2,230
24DCodes billed6
24AFirst – last monthOct 2022 – Aug 2024
Compared with peers
Next to other Clinical Neurophysiology Physician providers in Florida
Rank by total paid#5 of 7
Median peer was paid$377K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2022 | 227 | $19K | |
| 2023 | 1,437 | $84K | |
| 2024incomplete | 566 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95816 | 47% | 274 | 219 | $64K | |
| 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 | 37% | 1,424 | 1,212 | $50K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.0% | 144 | 123 | $11K |
| 95957 | 6.5% | 229 | 181 | $9K | |
| 95886 | <1% | 83 | 40 | $850.57 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 76 | 57 | $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 officialSIMON CANELLAS, JOSE (PRESIDENT)