Simone, Nadew

Simone, Nadew was paid $27K by Medicaid between Jan 2018 and May 2019, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 60% of everything it billed.

33Billing provider infoSIMONE, NADEW
CHARLESTON, WV 25304

33aNPI1902066798assigned 06/15/2008

33bProvider typeInternal Medicine Physician

28Total paid$27K

24GClaims1,278

24DCodes billed5

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Internal Medicine Physician providers in West Virginia

Rank by total paid#48 of 96

Median peer was paid$24K

This provider vs. median1.1×

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	788	$16K
2019	490	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	60%	691	292	$16K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	27%	439	243	$7K
99238	Hospital discharge day management, 30 minutes or less	6.8%	93	89	$2K
99239	Hospital discharge day management, more than 30 minutes	3.3%	38	38	$882.53
99223	Prolong inpt eval add15 m	2.6%	17	15	$690.00

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.