Physician
Simela Medical Arts PC
Simela Medical Arts PC was paid $38K by Medicaid between Mar 2018 and Sep 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoSIMELA MEDICAL ARTS PC
HEMPSTEAD, NY 11550
HEMPSTEAD, NY 11550
33aNPI1669530408assigned 12/05/2006
33bProvider typePediatrics Physician
28Total paid$38K
24GClaims10,544
24DCodes billed33
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#863 of 1,983
Median peer was paid$17K
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 | |
|---|---|---|---|
| 2018 | 1,129 | $20K | |
| 2019 | 2,828 | $13K | |
| 2020 | 2,445 | $756.83 | |
| 2021 | 2,921 | $584.18 | |
| 2022 | 17 | $0.00 | |
| 2023 | 801 | $3K | |
| 2024incomplete | 403 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 1,232 | 1,094 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 44% | 898 | 794 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.3% | 278 | 262 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 14 | 12 | $926.64 |
| 99442 | 2.3% | 228 | 209 | $862.50 | |
| 92551 | <1% | 109 | 109 | $199.88 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 282 | 281 | $110.40 |
| 86580 | <1% | 24 | 23 | $105.32 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 357 | 310 | $100.00 |
| 90686 | <1% | 48 | 42 | $86.12 | |
| 1126F | <1% | 188 | 166 | $51.00 | |
| 3074F | <1% | 69 | 58 | $40.00 |
21 more codes
| 3079F | <1% | 38 | $32.50 | |
| 3078F | <1% | 32 | $10.00 | |
| 99173 | <1% | 107 | $7.32 | |
| 1000F | 0% | 243 | $0.00 | |
| 3008F | 0% | 1,070 | $0.00 | |
| 1036F | 0% | 193 | $0.00 | |
| 2001F | 0% | 565 | $0.00 | |
| 0001F | 0% | 899 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 174 | $0.00 |
| 2010F | 0% | 589 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 437 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 23 | $0.00 |
| 90656 | 0% | 27 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 132 | $0.00 |
| 3725F | 0% | 102 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,061 | $0.00 |
| 0521F | 0% | 236 | $0.00 | |
| 1159F | 0% | 377 | $0.00 | |
| 1160F | 0% | 303 | $0.00 | |
| 3016F | 0% | 196 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialSIMELA, ERNEST (OWNER)