Simon, Herold

Simon, Herold was paid $124K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 30% of everything it billed.

33Billing provider infoSIMON, HEROLD
BROOKLYN, NY 11203

33aNPI1427034974assigned 12/16/2005

33bProvider typeNephrology Physician

28Total paid$124K

24GClaims10,487

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#94 of 559

Median peer was paid$18K

This provider vs. median7.1×

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	421	$9K
2019	1,045	$11K
2020	1,683	$18K
2021	2,041	$28K
2022	2,087	$25K
2023	1,925	$16K
2024incomplete	1,285	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	30%	3,467	3,356	$38K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	960	885	$33K
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	19%	473	432	$23K
99307		9.7%	2,737	2,069	$12K
99308	Subsequent nursing facility care, per day, straightforward	9.2%	1,153	1,085	$11K
99305		4.7%	496	475	$6K
36415	Collection of venous blood by venipuncture	<1%	822	783	$1K
99000		<1%	365	346	$9.40
99304		0%	14	12	$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.