Physician
Paul Simon DO LLC
Paul Simon DO LLC was paid $60K by Medicaid between Jan 2018 and Jul 2021, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoPAUL SIMON DO LLC
SAINT PETERS, MO 63376
SAINT PETERS, MO 63376
33aNPI1801032925assigned 12/18/2008
33bProvider typePsychiatry Physician
28Total paid$60K
24GClaims1,703
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Psychiatry Physician providers in Missouri
Rank by total paid#64 of 199
Median peer was paid$20K
This provider vs. median3.0×
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 | 445 | $12K | |
| 2019 | 433 | $10K | |
| 2020 | 577 | $27K | |
| 2021 | 248 | $12K |
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 | 55% | 1,160 | 937 | $33K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 19% | 190 | 174 | $11K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 137 | 120 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.9% | 56 | 53 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.0% | 62 | 46 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 98 | 73 | $2K |
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 officialSTELZER, KIM (ASSISTANT DIRECTOR OF OPERATIONS)