Medicaid Provider Spending

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

SIMPSON, TIMOTHY

NPI: 1740373729 · PUNXSUTAWNEY, PA 15767 · Emergency Medicine Physician · NPI assigned 10/02/2006

$448K
Total Medicaid Paid
11,078
Total Claims
10,602
Beneficiaries
29
Codes Billed
2019-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 2,939 2,863 $137K
99284 Emergency department visit for the evaluation and management, high severity 1,513 1,484 $103K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,365 2,212 $78K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 694 690 $35K
T1015 Clinic visit/encounter, all-inclusive 210 206 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 417 397 $22K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 260 253 $15K
99239 Hospital discharge day management, more than 30 minutes 162 159 $9K
99222 Initial hospital care, per day, moderate complexity 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 153 151 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 334 333 $2K
99217 54 50 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
99232 Subsequent hospital care, per day, moderate complexity 36 13 $670.66
99219 13 13 $594.58
87081 78 77 $406.44
87807 29 29 $379.12
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17 17 $215.52
81003 39 37 $125.35
81002 33 33 $112.79
1090F 80 74 $0.00
3078F 210 191 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 154 137 $0.00
3008F 467 418 $0.00
3074F 302 274 $0.00
1101F 112 103 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 212 198 $0.00
3079F 68 66 $0.00
3075F 26 25 $0.00