Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Melrose Park › NPI 1992840094
Physician

Simon, Sherrone

Simon, Sherrone was paid $70K by Medicaid between Mar 2018 and Sep 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoSIMON, SHERRONE
MELROSE PARK, IL 60160
33aNPI1992840094assigned 02/20/2007
28Total paid$70K
24GClaims2,073
24DCodes billed9
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#353 of 911
Median peer was paid$41K
This provider vs. median1.7×

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$4.0K2018201920202021202220232024
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
201879$1K
2019134$2K
2020380$12K
2021385$9K
2022394$11K
2023308$13K
2024incomplete393$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 37% 337 304 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17% 187 111 $12K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 135 126 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 138 116 $8K
59025 Fetal non-stress test 9.7% 845 746 $7K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.2% 188 172 $6K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1.7% 66 52 $1K
0502F 1.2% 19 12 $846.74
81002 <1% 158 103 $403.99

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.