NP / PA
Simcoe-Matthews, Alice
Simcoe-Matthews, Alice was paid $372K by Medicaid between Jan 2021 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoSIMCOE-MATTHEWS, ALICE
BOSTON, MA 02119
BOSTON, MA 02119
33aNPI1548624208assigned 04/08/2016
33bProvider typePhysician Assistant
28Total paid$372K
24GClaims6,148
24DCodes billed20
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Massachusetts
Rank by total paid#11 of 272
Median peer was paid$6K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2021 | 179 | $8K | |
| 2022 | 3,576 | $209K | |
| 2023 | 1,869 | $110K | |
| 2024incomplete | 524 | $45K |
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 | 43% | 1,149 | 1,077 | $160K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 648 | 611 | $80K |
| 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 | 16% | 491 | 491 | $60K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 439 | 439 | $54K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 302 | 150 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 1,083 | 1,048 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 49 | 48 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 611 | 596 | $419.16 |
| S9083 | Global fee urgent care centers | <1% | 13 | 13 | $375.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 27 | 27 | $185.25 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 275 | 269 | $182.02 |
| 81025 | <1% | 145 | 141 | $97.19 |
8 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 304 | $52.50 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 342 | $30.00 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 72 | $5.67 |
| 94760 | 0% | 13 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 147 | $0.00 |
| 93000 | 0% | 12 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 12 | $0.00 |
| 87634 | 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.