MICHAEL SIMMONS, MD
Otolaryngology Physician · JEFFERSON CITY, MO
Individual Active NPI 1366554586
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 842 | 5,541 | $397,699 | $163,543 | $116,015 |
| 2023 | 813 | 5,375 | $384,981 | $171,866 | $125,700 |
| 2022 | 683 | 4,799 | $297,333 | $142,477 | $104,883 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 2,841 | $13 | $9 |
| 95115 | Professional service for single injection of allergen | 445 | $9 | $6 |
| 92557 | Comprehensive hearing and speech recognition test | 267 | $33 | $21 |
| 69210 | Removal of impacted ear wax | 247 | $42 | $26 |
| 95117 | Professional service for multiple injections of allergen | 163 | $10 | $7 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 138 | $83 | $61 |
| 92556 | Test for ability to detect and repeat spoken words with speech recognition | 125 | $38 | $25 |
| 92552 | Test for hearing various pitches using earphone | 125 | $32 | $21 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 117 | $102 | $62 |
| 92567 | Test to assess middle ear function | 94 | $15 | $10 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 74 | $112 | $81 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 42 | $154 | $99 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | 110060 | MO |
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.