Physician
Simkovitz, Philip
Simkovitz, Philip was paid $506K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoSIMKOVITZ, PHILIP
TRUMBULL, CT 06611
TRUMBULL, CT 06611
33aNPI1346358744assigned 08/26/2006
33bProvider typePulmonary Disease Physician
28Total paid$506K
24GClaims20,604
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Connecticut
Rank by total paid#3 of 28
Median peer was paid$45K
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 | |
|---|---|---|---|
| 2018 | 2,566 | $67K | |
| 2019 | 3,678 | $96K | |
| 2020 | 2,316 | $68K | |
| 2021 | 3,095 | $93K | |
| 2022 | 3,696 | $87K | |
| 2023 | 3,024 | $61K | |
| 2024incomplete | 2,229 | $35K |
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 | 26% | 4,123 | 3,747 | $132K |
| 99205 | Prolong outpt/office vis | 26% | 854 | 773 | $131K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 3,001 | 856 | $66K |
| 94060 | 9.7% | 2,221 | 2,001 | $49K | |
| 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 | 8.9% | 427 | 375 | $45K |
| 94729 | 8.0% | 1,846 | 1,668 | $40K | |
| 94727 | 6.3% | 1,884 | 1,699 | $32K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,603 | 1,459 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 126 | 115 | $3K |
| 85018 | <1% | 1,620 | 1,491 | $2K | |
| 99406 | <1% | 93 | 88 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 40 | 25 | $156.31 |
3 more codes
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 1,086 | $88.44 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 548 | $72.29 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 1,132 | $33.43 |
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.