Simon, Patrick

Simon, Patrick was paid $71K by Medicaid between Oct 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoSIMON, PATRICK
WINFIELD, IL 60190

33aNPI1518114313assigned 08/22/2008

33bProvider typeOtolaryngology Physician

28Total paid$71K

24GClaims1,204

24DCodes billed5

24AFirst – last monthOct 2018 – Oct 2024

Compared with peers

Next to other Otolaryngology Physician providers in Illinois

Rank by total paid#65 of 221

Median peer was paid$21K

This provider vs. median3.4×

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
2018	87	$7K
2019	243	$15K
2020	238	$10K
2021	206	$12K
2022	125	$8K
2023	154	$9K
2024incomplete	151	$11K

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	47%	538	520	$34K
99243		29%	216	191	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	297	254	$10K
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	5.9%	59	59	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.5%	94	90	$3K

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.