Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SIMELA MEDICAL ARTS PC

NPI: 1669530408 · HEMPSTEAD, NY 11550 · Pediatrics Physician · NPI assigned 12/05/2006

$38K
Total Medicaid Paid
10,544
Total Claims
9,081
Beneficiaries
33
Codes Billed
2018-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSIMELA, ERNEST (OWNER)
NPI Enumeration Date12/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 403 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,232 1,094 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 898 794 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 278 262 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 12 $926.64
99442 228 209 $862.50
92551 109 109 $199.88
36415 Collection of venous blood by venipuncture 282 281 $110.40
86580 24 23 $105.32
G8510 Screening for depression is documented as negative, a follow-up plan is not required 357 310 $100.00
90686 48 42 $86.12
1126F 188 166 $51.00
3074F 69 58 $40.00
3079F 38 35 $32.50
3078F 32 29 $10.00
99173 107 107 $7.32
1000F 243 208 $0.00
3008F 1,070 876 $0.00
1036F 193 164 $0.00
2001F 565 470 $0.00
0001F 899 750 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 174 147 $0.00
2010F 589 489 $0.00
H0001 Alcohol and/or drug assessment 437 389 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23 23 $0.00
90656 27 27 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 132 113 $0.00
3725F 102 86 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,061 861 $0.00
0521F 236 202 $0.00
1159F 377 307 $0.00
1160F 303 254 $0.00
3016F 196 171 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $0.00