Physician
Lee, Simon
Lee, Simon was paid $46K by Medicaid between Sep 2021 and Sep 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoLEE, SIMON
WARRENVILLE, IL 60555
WARRENVILLE, IL 60555
33aNPI1477933497assigned 06/04/2015
33bProvider typeOrthopaedic Surgery Physician
28Total paid$46K
24GClaims879
24DCodes billed7
24AFirst – last monthSep 2021 – Sep 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Illinois
Rank by total paid#142 of 422
Median peer was paid$21K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2021 | 59 | $3K | |
| 2022 | 305 | $16K | |
| 2023 | 369 | $18K | |
| 2024incomplete | 146 | $8K |
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 | 75% | 573 | 513 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 120 | 107 | $5K |
| 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 | 5.7% | 38 | 38 | $3K |
| 20610 | 3.3% | 30 | 15 | $2K | |
| 73564 | 2.5% | 44 | 39 | $1K | |
| 73030 | 2.4% | 58 | 52 | $1K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 16 | 12 | $324.25 |
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.