Physician
Simplicity Health PA
Simplicity Health PA was paid $403K by Medicaid between Jun 2019 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoSIMPLICITY HEALTH PA
ST CLOUD, MN 56301
ST CLOUD, MN 56301
33aNPI1780186486assigned 03/08/2018
33bProvider typeFamily Medicine Physician
28Total paid$403K
24GClaims9,258
24DCodes billed19
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Minnesota
Rank by total paid#40 of 126
Median peer was paid$73K
This provider vs. median5.5×
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 | 28 | $2K | |
| 2020 | 206 | $8K | |
| 2021 | 1,765 | $79K | |
| 2022 | 2,829 | $119K | |
| 2023 | 2,958 | $117K | |
| 2024incomplete | 1,472 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 65% | 3,478 | 3,145 | $261K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,825 | 1,627 | $93K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 267 | 248 | $13K |
| 36415 | Collection of venous blood by venipuncture | 2.9% | 2,411 | 2,199 | $12K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.5% | 508 | 428 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 194 | 172 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 307 | 241 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | 12 | $918.96 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 15 | 14 | $596.55 |
| 0012A | <1% | 15 | 15 | $403.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 55 | 42 | $337.99 |
| 0001A | <1% | 24 | 24 | $313.01 |
7 more codes
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 officialANDERSON, JULIE (PHYSICIAN/OWNER)