Clinic
Simon Li Medical PLLC
Simon Li Medical PLLC was paid $917K by Medicaid between Jan 2019 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.
33Billing provider infoSIMON LI MEDICAL PLLC
BROOKLYN, NY 11214
BROOKLYN, NY 11214
33aNPI1952887580assigned 07/17/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$917K
24GClaims22,600
24DCodes billed30
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#49 of 242
Median peer was paid$172K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2019 | 399 | $31K | |
| 2020 | 1,972 | $72K | |
| 2021 | 5,513 | $188K | |
| 2022 | 6,147 | $265K | |
| 2023 | 5,471 | $231K | |
| 2024incomplete | 3,098 | $131K |
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 | 90% | 9,042 | 5,543 | $822K |
| 99051 | 2.4% | 3,710 | 3,000 | $22K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 291 | 281 | $17K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 78 | 78 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 568 | 556 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 65 | 65 | $8K |
| 90688 | <1% | 321 | 321 | $6K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 640 | 639 | $4K |
| 81000 | <1% | 1,405 | 1,395 | $4K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 171 | 171 | $3K |
| 0064A | <1% | 68 | 68 | $3K | |
| 96127 | <1% | 426 | 419 | $2K |
18 more codes
| 93000 | <1% | 177 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 90674 | <1% | 71 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 77 | $1K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 15 | $853.95 |
| 90686 | <1% | 50 | $519.82 | |
| 99490 | Ccm add 20min | <1% | 16 | $329.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 760 | $81.71 |
| 91306 | <1% | 68 | $0.01 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 536 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,217 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 184 | $0.00 |
| 99000 | 0% | 710 | $0.00 | |
| 90694 | 0% | 14 | $0.00 | |
| 99072 | 0% | 1,303 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 565 | $0.00 |
| 90658 | 0% | 26 | $0.00 | |
| 99408 | 0% | 14 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialLI, SIMON (MD/PRESIDENT)