Medicaid Provider Spending

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

TOMMIE SIMON MD, PLLC

NPI: 1689179715 · LAWTON, OK 73505 · Non-Pharmacy Dispensing Site

$477K
Total Medicaid Paid
9,962
Total Claims
9,813
Beneficiaries
28
Codes Billed
2018-07
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 236 $17K
2019 777 $48K
2020 1,168 $65K
2021 1,805 $86K
2022 2,698 $129K
2023 2,131 $89K
2024 1,147 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 3,216 3,198 $219K
99204 644 644 $70K
96413 1,190 1,105 $63K
99215 Prolong outpt/office vis 699 696 $58K
99213 310 310 $18K
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 13 12 $15K
80053 1,001 993 $9K
85025 1,000 991 $7K
96365 175 165 $5K
80074 64 64 $2K
86140 518 516 $2K
96415 128 119 $2K
99205 Prolong outpt/office vis 17 17 $2K
86200 133 133 $1K
86812 49 49 $1K
86038 62 62 $655.75
85651 134 134 $504.36
86704 52 52 $503.84
86706 52 52 $448.85
36415 101 101 $383.28
86431 79 79 $372.96
96401 28 25 $354.65
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 136 135 $333.63
84550 71 71 $265.32
83516 12 12 $215.46
82550 25 25 $133.17
85652 41 41 $93.60
96372 12 12 $42.38