CLIFFORD SIMMANG, MD
Colon & Rectal Surgery Physician · DALLAS, TX
Individual Active NPI 1316972136
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 203 | 485 | $512,582 | $133,077 | $104,794 |
| 2023 | 223 | 558 | $557,552 | $131,220 | $103,227 |
| 2022 | 212 | 590 | $595,327 | $155,530 | $122,086 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 93 | $88 | $64 |
| 46221 | Removal of external hemorrhoids by rubber banding | 44 | $279 | $211 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 40 | $110 | $74 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 26 | $115 | $92 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 26 | $217 | $153 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 23 | $154 | $130 |
| 46600 | Diagnostic exam of anus using an endoscope | 22 | $116 | $84 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 21 | $173 | $173 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 19 | $168 | $134 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 18 | $164 | $127 |
| 44213 | Partial release of large bowel and partial removal of large bowel using an endoscope | 14 | $179 | $143 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 13 | $238 | $200 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | G4245 | 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.