Physician
Stein, Sima
Stein, Sima was paid $418K by Medicaid between Jan 2018 and Oct 2024, across 34 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 50% of everything it billed.
33Billing provider infoSTEIN, SIMA
SAN JOSE, CA 95128
SAN JOSE, CA 95128
33aNPI1427134832assigned 10/27/2006
33bProvider typePediatrics Physician
28Total paid$418K
24GClaims21,423
24DCodes billed34
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#253 of 1,490
Median peer was paid$15K
This provider vs. median28×
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 | 2,634 | $54K | |
| 2019 | 3,363 | $67K | |
| 2020 | 2,441 | $55K | |
| 2021 | 3,018 | $59K | |
| 2022 | 3,917 | $76K | |
| 2023 | 4,666 | $93K | |
| 2024incomplete | 1,384 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 50% | 4,705 | 4,633 | $209K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,513 | 1,508 | $48K |
| 92552 | 8.9% | 3,044 | 2,998 | $37K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 1,140 | 1,139 | $37K |
| 92081 | 6.4% | 2,522 | 2,502 | $27K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 570 | 546 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 328 | 328 | $13K |
| 90686 | 1.8% | 1,007 | 1,000 | $8K | |
| 90697 | 1.3% | 86 | 85 | $5K | |
| 90670 | 1.2% | 611 | 609 | $5K | |
| 90672 | <1% | 197 | 196 | $2K | |
| 90633 | <1% | 180 | 180 | $1K |
22 more codes
| 90698 | <1% | 175 | $1K | |
| 90651 | <1% | 138 | $1K | |
| 90680 | <1% | 136 | $1K | |
| 90744 | <1% | 121 | $1K | |
| 90685 | <1% | 117 | $897.75 | |
| 90716 | <1% | 72 | $529.20 | |
| 90700 | <1% | 59 | $476.16 | |
| 90734 | <1% | 34 | $440.92 | |
| 90707 | <1% | 54 | $416.64 | |
| 90710 | <1% | 32 | $257.92 | |
| 96127 | <1% | 83 | $222.60 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,840 | $151.70 |
| 90648 | <1% | 17 | $151.20 | |
| 90715 | <1% | 14 | $128.96 | |
| 90713 | <1% | 13 | $113.40 | |
| 69210 | 0% | 486 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 890 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 24 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 64 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 15 | $0.00 |
| 97802 | 0% | 87 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 49 | $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.