Physician
Simone, Frank
Simone, Frank was paid $85K by Medicaid between Dec 2020 and Dec 2023, across 14 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 40% of everything it billed.
33Billing provider infoSIMONE, FRANK
INDIANA, PA 15701
INDIANA, PA 15701
33aNPI1932159084assigned 05/11/2006
33bProvider typeDiagnostic Radiology Physician
28Total paid$85K
24GClaims2,796
24DCodes billed14
24AFirst – last monthDec 2020 – Dec 2023
Compared with peers
Next to other Diagnostic Radiology Physician providers in Pennsylvania
Rank by total paid#74 of 707
Median peer was paid$5K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2020 | 18 | $123.87 | |
| 2021 | 351 | $4K | |
| 2022 | 1,310 | $40K | |
| 2023 | 1,117 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 40% | 494 | 489 | $34K |
| 70450 | Computed tomography, head or brain; without contrast material | 23% | 518 | 512 | $19K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 13% | 180 | 178 | $11K |
| 71045 | Radiologic examination, chest; single view | 6.2% | 797 | 764 | $5K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 6.1% | 164 | 164 | $5K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 4.4% | 146 | 146 | $4K |
| 71046 | Radiologic examination, chest; 2 views | 3.7% | 377 | 374 | $3K |
| 76830 | Ultrasound, transvaginal | 1.1% | 29 | 29 | $930.57 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 27 | 25 | $742.50 |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 13 | 13 | $727.99 |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 13 | 13 | $636.99 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | 13 | $288.18 |
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.