Simon, Sheldon
Simon, Sheldon was paid $114K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoSIMON, SHELDON
OWENSBORO, KY 42301
OWENSBORO, KY 42301
33aNPI1922082957assigned 12/02/2005
33bProvider typePodiatrist
28Total paid$114K
24GClaims6,699
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Podiatrist providers in Kentucky
Rank by total paid#13 of 45
Median peer was paid$34K
This provider vs. median3.3×
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 | 1,364 | $25K | |
| 2019 | 1,125 | $20K | |
| 2020 | 1,168 | $16K | |
| 2021 | 1,146 | $22K | |
| 2022 | 772 | $12K | |
| 2023 | 655 | $10K | |
| 2024incomplete | 469 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63% | 3,958 | 2,176 | $72K |
| 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 | 13% | 655 | 420 | $15K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.9% | 92 | 78 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.7% | 134 | 109 | $6K |
| 20550 | 4.8% | 210 | 87 | $5K | |
| 97022 | 2.9% | 1,182 | 854 | $3K | |
| 29540 | 2.8% | 313 | 164 | $3K | |
| A6021 | Collagen dressing, sterile, size 16 sq. in. or less, each | <1% | 75 | 42 | $991.08 |
| 29581 | <1% | 14 | 12 | $559.02 | |
| 73630 | <1% | 16 | 12 | $197.31 | |
| A4550 | Surgical trays | <1% | 21 | 14 | $96.50 |
| 97035 | <1% | 29 | 17 | $40.18 |
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.