Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SIMON LI MEDICAL PLLC

NPI: 1952887580 · BROOKLYN, NY 11214 · Primary Care Clinic/Center · NPI assigned 07/17/2018

$917K
Total Medicaid Paid
22,600
Total Claims
17,853
Beneficiaries
30
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLI, SIMON (MD/PRESIDENT)
NPI Enumeration Date07/17/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 399 $31K
2020 1,972 $72K
2021 5,513 $188K
2022 6,147 $265K
2023 5,471 $231K
2024 3,098 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,042 5,543 $822K
99051 3,710 3,000 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 291 281 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 78 78 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 568 556 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 65 65 $8K
90688 321 321 $6K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 640 639 $4K
81000 1,405 1,395 $4K
G0444 Annual depression screening, 5 to 15 minutes 171 171 $3K
0064A 68 68 $3K
96127 426 419 $2K
93000 177 177 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
90674 71 71 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 77 74 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 15 12 $853.95
90686 50 50 $519.82
99490 Ccm add 20min 16 16 $329.80
36415 Collection of venous blood by venipuncture 760 741 $81.71
91306 68 68 $0.01
G9275 Documentation that patient is a current non-tobacco user 536 529 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,217 1,179 $0.00
H0001 Alcohol and/or drug assessment 184 184 $0.00
99000 710 645 $0.00
90694 14 14 $0.00
99072 1,303 950 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 565 557 $0.00
90658 26 26 $0.00
99408 14 12 $0.00