Tommie Simon MD, PLLC

Tommie Simon MD, PLLC was paid $477K by Medicaid between Jul 2018 and Oct 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoTOMMIE SIMON MD, PLLC
LAWTON, OK 73505

33aNPI1689179715assigned 03/29/2018

33bProvider typeNon-Pharmacy Dispensing Site

28Total paid$477K

24GClaims9,962

24DCodes billed28

24AFirst – last monthJul 2018 – Oct 2024

Compared with peers

Next to other Non-Pharmacy Dispensing Site providers in Oklahoma

Rank by total paid#2 of 5

Median peer was paid$230K

This provider vs. median2.1×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	46%	3,216	3,198	$219K
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	15%	644	644	$70K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	13%	1,190	1,105	$63K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	699	696	$58K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.7%	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)	3.1%	13	12	$15K
80053	Comprehensive metabolic panel	1.9%	1,001	993	$9K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.4%	1,000	991	$7K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.0%	175	165	$5K
80074		<1%	64	64	$2K
86140		<1%	518	516	$2K
96415		<1%	128	119	$2K

16 more codes

99205	Prolong outpt/office vis	<1%	17	$2K
86200		<1%	133	$1K
86812		<1%	49	$1K
86038		<1%	62	$655.75
85651		<1%	134	$504.36
86704		<1%	52	$503.84
86706		<1%	52	$448.85
36415	Collection of venous blood by venipuncture	<1%	101	$383.28
86431		<1%	79	$372.96
96401		<1%	28	$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)	<1%	136	$333.63
84550		<1%	71	$265.32
83516		<1%	12	$215.46
82550		<1%	25	$133.17
85652		<1%	41	$93.60
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	12	$42.38

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 officialSIMON, TOMMIE (SOLE MEMBER/OWNER)