Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Plimpton, Charles

Plimpton, Charles was paid $1.11M by Medicaid between Jan 2018 and Jul 2023, across 23 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 46% of everything it billed.

33Billing provider infoPLIMPTON, CHARLES
PHOENIX, AZ 85012
33aNPI1891777835assigned 11/16/2005
28Total paid$1.11M
24GClaims23,118
24DCodes billed23
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Arizona

Rank by total paid#12 of 141
Median peer was paid$29K
This provider vs. median39×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20185,290$335K
20195,143$220K
20204,722$237K
20214,273$174K
20222,699$118K
2023991$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 46% 320 300 $515K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 15% 1,664 1,549 $162K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12% 1,487 1,452 $128K
76830 Ultrasound, transvaginal 7.0% 925 870 $77K
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% 776 744 $55K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4.6% 642 580 $51K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.0% 8,394 5,213 $33K
76801 1.9% 236 232 $22K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1.6% 268 254 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.3% 1,200 1,038 $15K
81025 1.1% 2,008 1,878 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 492 434 $7K
11 more codes
99204 Doctor's office visit, new patient (more involved) <1% 39 $3K
99223 Prolong inpt eval add15 m <1% 15 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 40 $2K
58300 <1% 24 $1K
36415 Collection of venous blood by venipuncture <1% 528 $1K
99215 Doctor's office visit, returning patient (complex) <1% 12 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 18 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 28 $819.10
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 20 $621.00
99000 <1% 3,883 $562.52
81002 <1% 99 $130.93

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.