GLORIA SIMMS, M.D.
Neurology Physician · MCALLEN, TX
Individual Active NPI 1164651352
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 70 | 11,382 | $284,776 | $108,423 | $85,316 |
| 2023 | 90 | 10,652 | $215,325 | $103,757 | $81,000 |
| 2022 | 147 | 12,974 | $281,288 | $131,292 | $101,949 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 11,000 | $6 | $5 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 138 | $114 | $86 |
| 64615 | Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | 56 | $130 | $104 |
| 64405 | Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | 40 | $57 | $46 |
| 64400 | Injection of anesthetic agent and/or steroid into face nerve | 33 | $143 | $114 |
| 20553 | Injection of trigger points, 3 or more muscles | 22 | $30 | $24 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 21 | $165 | $132 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 20 | $210 | $167 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 16 | $72 | $58 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ✓ | R3216 | TX |
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.