Simpson, Richard

Simpson, Richard was paid $14K by Medicaid between Dec 2020 and Aug 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.

33Billing provider infoSIMPSON, RICHARD
FAIRMONT, WV 26554

33aNPI1730264490assigned 10/25/2006

33bProvider typeInternal Medicine Physician

28Total paid$14K

24GClaims471

24DCodes billed4

24AFirst – last monthDec 2020 – Aug 2023

Compared with peers

Next to other Internal Medicine Physician providers in West Virginia

Rank by total paid#60 of 96

Median peer was paid$24K

This provider vs. median0.6×

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	16	$500.50
2021	94	$3K
2022	182	$6K
2023	179	$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	84%	400	379	$12K
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	16%	45	42	$2K
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	14	14	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	12	12	$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.