Duncan-Sampson, Tilly

Duncan-Sampson, Tilly was paid $269K by Medicaid between Jan 2018 and Feb 2021, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoDUNCAN-SAMPSON, TILLY
LIMA, OH 45807

33aNPI1598775801assigned 08/09/2006

33bProvider typePediatrics Physician

28Total paid$269K

24GClaims8,360

24DCodes billed24

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#98 of 401

Median peer was paid$30K

This provider vs. median9.1×

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	3,088	$98K
2019	3,266	$102K
2020	1,886	$64K
2021	120	$5K

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	32%	1,977	1,684	$86K
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	25%	1,046	1,003	$67K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	2,640	1,133	$39K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.7%	407	404	$23K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.4%	378	357	$20K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.4%	318	312	$17K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.1%	90	90	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	330	323	$4K
99051		1.3%	162	156	$3K
90670		<1%	274	270	$820.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	56	56	$662.43
90686		<1%	203	202	$500.00

12 more codes

90633	<1%	111	$450.00
90698	<1%	92	$280.00
90744	<1%	46	$160.00
90672	<1%	28	$110.00
90680	<1%	26	$100.00
90651	<1%	40	$100.00
90710	<1%	27	$90.00
90685	<1%	28	$80.00
90734	<1%	29	$70.00
90723	<1%	17	$70.00
90648	<1%	22	$60.00
90696	<1%	13	$40.00

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.