DONALD SIMMONS, MD
Anatomic Pathology & Clinical Pathology Physician · HOMEWOOD, AL
Individual Active NPI 1164428892
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 400 | 1,028 | $72,909 | $43,541 | $34,625 |
| 2023 | 109 | 193 | $31,267 | $15,784 | $12,656 |
| 2022 | 774 | 2,873 | $361,809 | $203,881 | $200,412 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 390 | $39 | $31 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 145 | $83 | $66 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 136 | $25 | $20 |
| 88360 | Microscopic genetic analysis of tumor, manual | 64 | $39 | $31 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 60 | $36 | $27 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 34 | $15 | $12 |
| 88104 | Cell examination of body fluid, smears | 33 | $24 | $19 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 30 | $37 | $30 |
| 88108 | Cell examination of specimen, concentration technique | 28 | $19 | $15 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 24 | $18 | $15 |
| 88331 | Pathology examination of specimen during surgery, first tissue block | 19 | $55 | $44 |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 13 | $124 | $99 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ✓ | 16259 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.