Borges-Young, Simone

Borges-Young, Simone was paid $287K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 46% of everything it billed.

33Billing provider infoBORGES-YOUNG, SIMONE
SPRINGFIELD, IL 62703

33aNPI1871554915assigned 03/29/2006

33bProvider typeEmergency Medicine Physician

28Total paid$287K

24GClaims5,823

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#480 of 1,980

Median peer was paid$150K

This provider vs. median1.9×

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	816	$33K
2019	934	$38K
2020	1,277	$53K
2021	1,005	$56K
2022	897	$53K
2023	442	$28K
2024incomplete	452	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	46%	2,006	1,821	$133K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	32%	1,679	1,548	$93K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	20%	1,652	1,494	$56K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.3%	458	376	$4K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	28	28	$677.60

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.