Simko, Shawn

Simko, Shawn was paid $214K by Medicaid between Oct 2020 and Dec 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 44% of everything it billed.

33Billing provider infoSIMKO, SHAWN
ERIE, PA 16544

33aNPI1043511165assigned 11/05/2010

33bProvider typeEmergency Medicine Physician

28Total paid$214K

24GClaims3,041

24DCodes billed5

24AFirst – last monthOct 2020 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#129 of 1,211

Median peer was paid$19K

This provider vs. median11×

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	105	$5K
2021	594	$28K
2022	709	$35K
2023	965	$80K
2024incomplete	668	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	44%	1,221	1,174	$95K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	41%	1,353	1,334	$88K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	7.1%	340	337	$15K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	6.9%	110	110	$15K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	17	16	$544.20

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.