MICHAEL SIMMONS, MD
Urology Physician · GAINESVILLE, GA
Individual Active NPI 1225023344
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 510 | 3,790 | $437,760 | $182,598 | $136,658 |
| 2023 | 472 | 5,346 | $492,285 | $193,253 | $145,007 |
| 2022 | 505 | 4,537 | $558,285 | $215,824 | $163,152 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 428 | $122 | $84 |
| 81003 | Automated urinalysis test | 325 | $2 | $2 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 209 | $87 | $65 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 162 | $3 | $3 |
| 36415 | Insertion of needle into vein for collection of blood sample | 152 | $9 | $9 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 99 | $159 | $116 |
| 96127 | Assessment of emotional or behavioral problems | 83 | $4 | $3 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 71 | $10 | $8 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 66 | $222 | $172 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 65 | $127 | $103 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 64 | $179 | $134 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 39 | $106 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 93682 | GA |
| Urology Physician | 208800000X | 17993 | 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.