Physician
Fitzsimmons, Daniel
Fitzsimmons, Daniel was paid $67K by Medicaid between Jan 2018 and Sep 2018, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoFITZSIMMONS, DANIEL
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1659380467assigned 08/08/2006
33bProvider typePediatrics Physician
28Total paid$67K
24GClaims1,299
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#284 of 817
Median peer was paid$29K
This provider vs. median2.3×
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 | 1,299 | $67K |
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 | 44% | 498 | 459 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 157 | 157 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 99 | 99 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 100 | 99 | $8K |
| 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 | 4.2% | 31 | 29 | $3K |
| 90670 | 1.6% | 76 | 76 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 27 | 26 | $913.75 |
| 90698 | 1.2% | 60 | 60 | $807.80 | |
| 90688 | <1% | 41 | 40 | $503.20 | |
| 92551 | <1% | 36 | 36 | $404.52 | |
| 90633 | <1% | 25 | 25 | $371.89 | |
| 90680 | <1% | 28 | 28 | $337.70 |
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.