Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Simonian, Simon

Simonian, Simon was paid $412K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 31525, — 40% of everything it billed.

33Billing provider infoSIMONIAN, SIMON
LOS ANGELES, CA 90028
33aNPI1598771834assigned 07/31/2006
33bProvider typeLegal Medicine
28Total paid$412K
24GClaims19,590
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Legal Medicine providers in California

Rank by total paid#9 of 39
Median peer was paid$17K
This provider vs. median24×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,504$14K
20194,840$39K
20202,147$37K
20212,489$101K
20222,051$68K
20233,047$90K
2024incomplete2,512$63K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31525 40% 3,476 3,449 $166K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 2,902 2,887 $65K
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 7.7% 1,196 1,196 $32K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.6% 1,371 1,367 $27K
31231 5.8% 2,438 2,420 $24K
31237 5.5% 1,004 462 $23K
92557 5.3% 1,470 1,453 $22K
92567 3.9% 1,886 1,436 $16K
94060 3.0% 1,001 996 $13K
99244 Office or other outpatient consultation, moderate to high complexity 2.4% 519 519 $10K
92570 1.8% 749 748 $7K
69222 1.1% 209 163 $4K
8 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 108 $1K
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing <1% 300 $1K
92568 <1% 790 $1K
92504 <1% 73 $163.84
31090 0% 15 $0.00
30140 0% 13 $0.00
30520 0% 13 $0.00
31575 0% 57 $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.