Michael H. Simpson, M.D., P.A.
Michael H. Simpson, M.D., P.A. was paid $2.79M by Medicaid between Nov 2020 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoMICHAEL H. SIMPSON, M.D., P.A.
EL PASO, TX 79902
EL PASO, TX 79902
33aNPI1265765267assigned 09/09/2009
33bProvider typeSpecialist
28Total paid$2.79M
24GClaims36,189
24DCodes billed17
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#17 of 382
Median peer was paid$29K
This provider vs. median96×
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 | 210 | $11K | |
| 2021 | 4,732 | $308K | |
| 2022 | 9,289 | $714K | |
| 2023 | 11,381 | $923K | |
| 2024incomplete | 10,577 | $833K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 12,439 | 12,022 | $874K |
| 17110 | 16% | 3,813 | 3,676 | $437K | |
| 96920 | 15% | 2,528 | 614 | $427K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13% | 3,186 | 3,148 | $375K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 5,486 | 5,311 | $269K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.8% | 2,325 | 2,287 | $190K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.2% | 920 | 913 | $60K |
| 17111 | 1.9% | 392 | 377 | $54K | |
| 11900 | 1.1% | 590 | 569 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 950 | 924 | $31K |
| 81025 | <1% | 2,614 | 2,591 | $23K | |
| 11102 | <1% | 66 | 65 | $6K |
5 more codes
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, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Breckinridge County Schools | Hardinsburg, KY | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.