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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTimothy Simplot
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    Timothy Simplot — Billing Profile & Reimbursement Data

    NPI 1275591273 · West Des Moines, IA · Otolaryngology Physician

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    Timothy Simplot is a otolaryngology physician provider located in West Des Moines, Iowa. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTimothy Simplot
    Address105 Valley West Dr
    CityWest Des Moines
    StateIA
    ZIP50265
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$96K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    30801In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to ablate the superficial area of the inferior turbinates.140$150$20.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…330$60$20.4K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.70$130$9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…80$120$8.9K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…70$130$8.8K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…110$70$7.6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…70$90$6.3K
    77011In this procedure, the provider uses computed tomography guidance to locate small targets inside the body using a three–dimensional coordinate system.30$160$4.6K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…100$20$1.9K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.10$130$1.9K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3080151080$130$19K
    992142,8874,690100$70$14.4K
    992134964,740100$50$8K
    3157951040$130$7K
    31231197040$110$6.7K
    992043531,87030$100$5K
    31575759050$80$4.7K
    992031591,60030$60$3.2K
    925578890110$20$2.9K
    7701111010$160$2.9K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Timothy Simplot, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abdelaziz ElhaddadIAMedical Oncology Physician$1.5M$0
    Knoxville Community Hospital IncIACritical Access Hospital$0$1.3M
    Knoxville Community Hospital IncIAFamily Medicine Physician$0$900.3K
    Iowa Ent Center PLLCIAOtolaryngology Physician$0$864.8K
    Brandon MenkeNEOphthalmology Physician$372.2K$0
    Melisa CoakerIASleep Medicine (Internal Medicine) Physician$370.4K$0
    Taylor WhittIANurse Practitioner$266.1K$0
    Kevin BirusinghIAUrology Physician$204.3K$0
    Robert JacksonMORheumatology Physician$173.3K$0
    Mark FishIAOrthopaedic Surgery Physician$167.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Timothy Simplot, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Community Services, Inc.IAPoint of Service$261.6K$46.4M
    West Des Moines Community School DistrictIALocal Education Agency (LEA)$0$11.6M
    Stepping Stone Family Services Inc.IAMental Health Counselor$0$11.1M
    Allergy Institute, P.C.IAAllergy & Immunology Physician$0$3.4M
    Oscar Home Health CareIAHome Health Agency$0$1.2M
    Child Psychiatry Associates PCIAChild & Adolescent Psychiatry Physician$0$984.2K
    Robert FoustIAGeneral Practice Dentistry$0$898.8K
    Pine Acres Assisted Living LLCIAAssisted Living Facility$0$861.9K
    Cody KochIAPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician$331.9K$0
    Hy-vee IncIACommunity/Retail Pharmacy$249.9K$16.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Iowa Distribution
    Timothy Simplot — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa