Physician
Randall L Simonsen MD PA
Randall L Simonsen MD PA was paid $3K by Medicaid between Nov 2020 and Feb 2022, across 3 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 69% of everything it billed.
33Billing provider infoRANDALL L SIMONSEN MD PA
KINGSVILLE, TX 78363
KINGSVILLE, TX 78363
33aNPI1679818595assigned 12/04/2012
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$3K
24GClaims231
24DCodes billed3
24AFirst – last monthNov 2020 – Feb 2022
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Texas
Rank by total paid#72 of 97
Median peer was paid$24K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 52 | $766.31 | |
| 2021 | 166 | $2K | |
| 2022 | 13 | $158.41 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 69% | 121 | 112 | $2K |
| 88312 | 22% | 55 | 52 | $742.19 | |
| 88313 | 9.0% | 55 | 52 | $305.52 |
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.
From NPPES
Who's on the registration
Authorized officialSIMONSEN, RANDALL (PRESIDENT)