Simpson, Timothy

Simpson, Timothy was paid $448K by Medicaid between Aug 2019 and Dec 2024, across 29 billing codes. Its largest line is 99283, emergency room visit (moderate) — 30% of everything it billed.

33Billing provider infoSIMPSON, TIMOTHY
PUNXSUTAWNEY, PA 15767

33aNPI1740373729assigned 10/02/2006

33bProvider typeEmergency Medicine Physician

28Total paid$448K

24GClaims11,078

24DCodes billed29

24AFirst – last monthAug 2019 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#63 of 1,211

Median peer was paid$19K

This provider vs. median23×

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
2019	187	$8K
2020	760	$28K
2021	2,710	$86K
2022	3,493	$97K
2023	2,288	$103K
2024incomplete	1,640	$126K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	30%	2,939	2,863	$137K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	23%	1,513	1,484	$103K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	2,365	2,212	$78K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.8%	694	690	$35K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	7.4%	210	206	$33K
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	4.9%	417	397	$22K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	3.3%	260	253	$15K
99239	Hospital discharge day management, more than 30 minutes	2.0%	162	159	$9K
99222	Initial hospital care, per day, moderate complexity	1.3%	89	87	$6K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	153	151	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	334	333	$2K
99217		<1%	54	50	$1K

17 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	12	$1K
99232	Hospital visit by a doctor, follow-up day	<1%	36	$670.66
99219		<1%	13	$594.58
87081		<1%	78	$406.44
87807		<1%	29	$379.12
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	17	$215.52
81003		<1%	39	$125.35
81002		<1%	33	$112.79
1090F		0%	80	$0.00
3078F		0%	210	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	154	$0.00
3008F		0%	467	$0.00
3074F		0%	302	$0.00
1101F		0%	112	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	212	$0.00
3079F		0%	68	$0.00
3075F		0%	26	$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.