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

Clark, Simon was paid $26K by Medicaid between Jan 2018 and May 2019, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 36% of everything it billed.

33Billing provider infoCLARK, SIMON
BATON ROUGE, LA 70806
33aNPI1629335534assigned 04/16/2012
28Total paid$26K
24GClaims430
24DCodes billed3
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Louisiana

Rank by total paid#17 of 43
Median peer was paid$6K
This provider vs. median4.0×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018316$19K
2019114$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 36% 89 88 $9K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 33% 224 222 $8K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 31% 117 115 $8K

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.