Lauer, Simeon

Lauer, Simeon was paid $27K by Medicaid between Jun 2018 and Jul 2024, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 70% of everything it billed.

33Billing provider infoLAUER, SIMEON
POMONA, NY 10970

33aNPI1790894723assigned 08/30/2006

33bProvider typeOphthalmology Physician

28Total paid$27K

24GClaims269

24DCodes billed5

24AFirst – last monthJun 2018 – Jul 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#576 of 1,085

Median peer was paid$34K

This provider vs. median0.8×

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	15	$2K
2019	56	$7K
2020	73	$8K
2021	56	$4K
2022	31	$3K
2023	26	$2K
2024incomplete	12	$737.55

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	70%	172	169	$19K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	15%	55	55	$4K
99243		5.8%	15	15	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.3%	14	13	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	3.2%	13	13	$865.08

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.