Dr. Tania Billstone-Simpson , MSN, APRN, FNP-C
Fair / StandardAligned with Customary Rates
This physician's billed charges remain close to standard insurance allowable rates (within 2.5 times baseline). Patients visiting this practice rarely encounter extreme out-of-pocket price inflation.
Balanced Practice
Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.
How is appointment length calculated?
Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).
Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Billstone-Simpson primarily performs clinical procedures, imaging, or laboratory services rather than routine timed office consultations.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
Dr. Billstone-Simpson's billed charges align closely with standard customary rates. If you have insurance, negotiated rates will apply. For self-paying, uninsured, or out-of-network care, this doctor's billing practices reflect customary and modest fees.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
CPT 99349 | 177 | $155.99 | $205.00 | $104.65 | 0.76x |
CPT 99348 | 160 | $95.30 | $150.00 | $62.36 | 0.64x |
CPT 99441 | 102 | $54.27 | $100.00 | $44.76 | 0.54x |
CPT 99350 | 45 | $200.68 | $284.13 | $152.78 | 0.71x |
CPT 99442 | 39 | $89.38 | $164.00 | $72.55 | 0.54x |
CPT 96127 | 23 | $4.43 | $15.00 | $4.30 | 0.3x |
CPT 99344 | 20 | $171.84 | $271.32 | $118.37 | 0.63x |
CPT 99443 | 15 | $123.80 | $250.00 | $102.74 | 0.5x |
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👨⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓
This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:
Estimated appointment time calculation: N/A. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 1.42x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.
Patient Guidance: What to Ask Before Your Appointment
- In-Network Confirmation: Confirm directly with your insurance plan that Dr. Billstone-Simpson participates in your specific network tier.
- Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
- Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.