Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › Idaho Falls › NPI 1174919534
Physician

Simpson Dermcare and Family Medicine PLLC

Simpson Dermcare and Family Medicine PLLC was paid $1.83M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoSIMPSON DERMCARE AND FAMILY MEDICINE PLLC
IDAHO FALLS, ID 83404
33aNPI1174919534assigned 04/13/2015
28Total paid$1.83M
24GClaims34,091
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Idaho

Rank by total paid#15 of 136
Median peer was paid$139K
This provider vs. median13×

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$20K$40K2018201920202021202220232024
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
20183,912$192K
20194,644$222K
20205,753$297K
20216,070$317K
20225,295$305K
20234,506$266K
2024incomplete3,911$230K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 13,080 12,485 $770K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16% 3,390 2,975 $291K
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 13% 2,714 2,602 $231K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 2,155 2,137 $202K
90460 Immunization administration through 18 years of age via any route, first or only component 10% 4,351 4,279 $185K
90461 5.5% 2,295 2,266 $101K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 300 299 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 168 168 $15K
99460 <1% 24 24 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 53 52 $2K
36415 Collection of venous blood by venipuncture <1% 537 520 $2K
99238 Hospital discharge day management, 30 minutes or less <1% 27 26 $1K
19 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 38 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 33 $597.99
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14 $243.04
90674 <1% 12 $238.15
36416 <1% 44 $123.10
81000 <1% 12 $43.44
90685 <1% 98 $19.63
90686 <1% 680 $17.13
90670 0% 1,264 $0.00
90633 0% 119 $0.00
90672 0% 43 $0.00
90710 0% 52 $0.00
90677 0% 179 $0.00
90680 0% 924 $0.00
90698 0% 1,135 $0.00
90744 0% 310 $0.00
90697 0% 12 $0.00
90660 0% 14 $0.00
90656 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 officialSIMPSON, ISAC (MD/OWNER)