Physician
Simon, Robert
Simon, Robert was paid $21K by Medicaid between Oct 2021 and Nov 2024, across 3 billing codes. Its largest line is 99243, — 66% of everything it billed.
33Billing provider infoSIMON, ROBERT
LARCHMONT, NY 10538
LARCHMONT, NY 10538
33aNPI1851365449assigned 02/13/2006
33bProvider typeSports Medicine (Neuromusculoskeletal Medicine) Physician
28Total paid$21K
24GClaims606
24DCodes billed3
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Sports Medicine (Neuromusculoskeletal Medicine) Physician providers in New York
Rank by total paid#5 of 15
Median peer was paid$9K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2021 | 41 | $1K | |
| 2022 | 35 | $1K | |
| 2023 | 271 | $10K | |
| 2024incomplete | 259 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99243 | 66% | 348 | 348 | $14K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 232 | 228 | $7K |
| 3078F | 0% | 26 | 25 | $0.00 |
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.