JOSE SIMPAO, M.D.,
6850 N DURANGO DR STE 120, LAS VEGAS, NV 89149
NPI Number
1154548410
Practice location · View on Google Maps
Total Medicaid Payments
$171,069
-69% vs specialty average
Patients Seen
3,435
Total Claims
3,655
$ Per Patient
$50
Specialty avg: $34
Specialty Rank
#3 of 6
Pediatrics, Adolescent Medicine providers in Nevada
Peer Average
$550,809
Average total for Pediatrics, Adolescent Medicine
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $169,904 | |
| 2019 | $1,166 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 1,213 | $77,851 | 45.5% | $64 |
| 99392 | Wellness checkup — ages 1-4 | 282 | $27,575 | 16.1% | $98 |
| 99391 | Wellness checkup — infant (under 1 year) | 259 | $23,710 | 13.9% | $92 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 446 | $18,421 | 10.8% | $41 |
| 99393 | Wellness checkup — ages 5-11 | 123 | $11,997 | 7.0% | $98 |
| 99214 | Office visit for a moderate problem (established patient) | 45 | $3,527 | 2.1% | $78 |
| 99394 | Wellness checkup — ages 12-17 | 27 | $2,968 | 1.7% | $110 |
| 87880 | Strep throat test (rapid) | 203 | $1,877 | 1.1% | $9 |
| 87804 | Flu test (rapid) | 113 | $1,178 | 0.7% | $10 |
| 90471 | Giving a vaccine by injection (shot) | 40 | $791 | 0.5% | $20 |
| 94760 | Breathing test or lung function test | 380 | $649 | 0.4% | $2 |
| 87430 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 18 | $211 | 0.1% | $12 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 49 | $182 | 0.1% | $4 |
| 87070 | Culture test — checking a sample for bacteria | 16 | $132 | 0.1% | $8 |
| 99000 | Special medical service | 315 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 26 | $0 | 0.0% | $0 |
| 99173 | Other medical service | 88 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 12 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.