Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Indiana › NPI 1932159084
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
33aNPI1932159084assigned 05/11/2006
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
202018$123.87
2021351$4K
20221,310$40K
20231,117$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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
2 more codes
73610 <1% 12 $98.90
73130 <1% 13 $93.69

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.