Prager Simon & Associates LLP

Prager Simon & Associates LLP was paid $2.66M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 65% of everything it billed.

33Billing provider infoPRAGER SIMON & ASSOCIATES LLP
PINECREST, FL 33156

33aNPI1467558817assigned 09/15/2006

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$2.66M

24GClaims64,789

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Florida

Rank by total paid#3 of 55

Median peer was paid$37K

This provider vs. median72×

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	3,732	$134K
2019	9,563	$396K
2020	12,462	$527K
2021	12,577	$555K
2022	9,984	$431K
2023	9,942	$425K
2024incomplete	6,529	$191K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	65%	26,196	9,046	$1.72M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	28%	26,220	7,382	$750K
99292		5.8%	8,321	2,936	$153K
36575		<1%	1,297	267	$19K
36556		<1%	182	135	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	248	69	$4K
36569		<1%	76	59	$2K
99223	Prolong inpt eval add15 m	<1%	27	22	$1K
76937		<1%	565	281	$817.80
36410		<1%	330	161	$10.05
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,327	1,063	$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 officialPRAGER, RICHARD (MANAGING PARNTER CEO)

Same official

Other billing entities under PRAGER, RICHARD

Full network →

Provider	Location	Paid
Professional Healthcare Associates LLC	Pinecrest, FL	$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.