Simonelli, Mark

Simonelli, Mark was paid $20K by Medicaid between Sep 2018 and Sep 2024, across 5 billing codes. Its largest line is 99395, Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years — 42% of everything it billed.

33Billing provider infoSIMONELLI, MARK
SOUTHBRIDGE, MA 01550

33aNPI1598759334assigned 09/08/2005

33bProvider typeObstetrics & Gynecology Physician

28Total paid$20K

24GClaims321

24DCodes billed5

24AFirst – last monthSep 2018 – Sep 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Massachusetts

Rank by total paid#78 of 216

Median peer was paid$7K

This provider vs. median3.0×

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	30	$2K
2023	134	$9K
2024incomplete	157	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	42%	90	90	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	136	132	$7K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	14%	29	29	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	9.0%	50	45	$2K
81025		<1%	16	15	$121.44

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.