Peter T. Simonson, M.D., P.L.L.C.
Peter T. Simonson, M.D., P.L.L.C. was paid $1.72M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 84% of everything it billed.
33Billing provider infoPETER T. SIMONSON, M.D., P.L.L.C.
SUFFERN, NY 10901
SUFFERN, NY 10901
33aNPI1851448880assigned 01/04/2007
33bProvider typeSpecialist
28Total paid$1.72M
24GClaims26,044
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#103 of 1,221
Median peer was paid$45K
This provider vs. median38×
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 | 3,677 | $166K | |
| 2019 | 3,898 | $258K | |
| 2020 | 4,008 | $255K | |
| 2021 | 4,695 | $444K | |
| 2022 | 4,704 | $280K | |
| 2023 | 4,609 | $318K | |
| 2024incomplete | 453 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 84% | 604 | 603 | $1.44M |
| 76801 | 4.2% | 635 | 635 | $73K | |
| 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 | 3.9% | 590 | 580 | $67K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 3.6% | 799 | 787 | $63K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 380 | 375 | $27K |
| 81002 | 1.1% | 11,471 | 9,350 | $19K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 107 | 107 | $12K |
| 90674 | <1% | 300 | 298 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 602 | 586 | $3K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,030 | 1,028 | $3K |
| 90715 | <1% | 42 | 42 | $2K | |
| 90686 | <1% | 80 | 80 | $2K |
4 more codes
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 officialSIMONSON, PETER (DOCTOR)