Physician
Mark Simpson, PC
Mark Simpson, PC was paid $19K by Medicaid between Nov 2018 and Sep 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoMARK SIMPSON, PC
HIXSON, TN 37343
HIXSON, TN 37343
33aNPI1821365651assigned 11/22/2011
33bProvider typeFamily Medicine Physician
28Total paid$19K
24GClaims477
24DCodes billed3
24AFirst – last monthNov 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#448 of 754
Median peer was paid$34K
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 | |
|---|---|---|---|
| 2018 | 30 | $1K | |
| 2019 | 78 | $3K | |
| 2020 | 29 | $1K | |
| 2021 | 104 | $5K | |
| 2022 | 191 | $7K | |
| 2023 | 31 | $966.93 | |
| 2024incomplete | 14 | $255.17 |
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 | 75% | 299 | 265 | $14K |
| 99442 | 24% | 165 | 144 | $5K | |
| 80305 | <1% | 13 | 12 | $124.14 |
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 officialSIMPSON, MARK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| State of West Virginia Welch Community Hospital | Welch, WV | $4.56M |
| State of West Virginia Welch Community Hospital | Welch, WV | $4.19M |
| Mark Simpson PSYD Mac Ladc LLC | Albuquerque, NM | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.