Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SIMEDHEALTH LLC

NPI: 1639680127 · GAINESVILLE, FL 32607 · Podiatrist · NPI assigned 10/24/2017

$2.39M
Total Medicaid Paid
155,501
Total Claims
120,478
Beneficiaries
74
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNCANSON, DANIEL (CEO/PRESIDENT)
NPI Enumeration Date10/24/2017

Related Entities

Other providers sharing the same authorized official: DUNCANSON, DANIEL

ProviderCityStateTotal Paid
SOUTHEASTERN INTEGRATED MEDICAL PL GAINESVILLE FL $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,420 $8K
2019 21,239 $334K
2020 21,745 $384K
2021 22,382 $513K
2022 31,425 $292K
2023 29,337 $421K
2024 23,953 $439K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 79,245 63,677 $1.48M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,141 13,250 $195K
80324 1,454 1,206 $166K
80346 2,252 1,848 $66K
99215 Prolong outpt/office vis 1,956 1,516 $66K
99233 Prolong inpt eval add15 m 2,070 880 $57K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,617 1,438 $44K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 194 178 $44K
95117 5,247 2,397 $37K
80348 3,442 2,861 $34K
99232 Subsequent hospital care, per day, moderate complexity 1,669 475 $25K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 211 164 $23K
99223 Prolong inpt eval add15 m 446 337 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 272 220 $17K
99244 Office or other outpatient consultation, moderate to high complexity 287 215 $15K
99308 Subsequent nursing facility care, per day, straightforward 4,890 2,133 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination 237 136 $11K
80365 3,053 2,558 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,586 618 $7K
80349 2,038 1,673 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 4,854 4,423 $5K
80354 3,398 2,832 $5K
80353 3,104 2,570 $5K
80361 3,115 2,602 $5K
80061 Lipid panel 1,000 801 $4K
0011A 228 209 $3K
80373 805 686 $3K
80372 744 637 $3K
80369 886 740 $3K
80358 1,287 1,076 $3K
94010 228 199 $2K
80359 584 476 $2K
80345 611 500 $2K
84443 Thyroid stimulating hormone (TSH) 69 53 $1K
80053 Comprehensive metabolic panel 673 556 $1K
94060 114 96 $1K
83992 459 375 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 611 512 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 332 227 $932.94
20610 136 90 $890.07
80050 General health panel 67 40 $889.58
99443 14 12 $749.25
0012A 198 181 $719.74
71046 Radiologic examination, chest; 2 views 160 142 $715.70
0064A 81 68 $584.00
71250 30 28 $564.74
99243 15 15 $503.91
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 21 12 $500.04
94729 81 63 $391.08
81003 600 468 $302.53
0134A 23 21 $294.00
83036 Hemoglobin; glycosylated (A1C) 172 137 $286.10
99307 96 50 $181.56
88342 37 12 $145.78
83001 26 12 $114.84
J1030 Injection, methylprednisolone acetate, 40 mg 71 54 $110.30
90686 81 59 $99.76
80305 16 14 $98.32
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 91 86 $69.11
99406 657 452 $42.55
J1010 Injection, methylprednisolone acetate, 1 mg 24 15 $40.00
82043 31 24 $18.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg 251 182 $18.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 64 52 $1.23
90791 Psychiatric diagnostic evaluation 161 154 $0.00
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 539 472 $0.00
88313 36 12 $0.00
90832 Psychotherapy, 30 minutes with patient 67 26 $0.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13 12 $0.00
90662 62 40 $0.00
G0008 Administration of influenza virus vaccine 108 86 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23 13 $0.00
82607 18 12 $0.00
0094A 22 12 $0.00