JERALD SIMMONS, MD
Sleep Medicine (Psychiatry & Neurology) Physician · HOUSTON, TX
Individual Active NPI 1417045329
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 751 | 3,712 | $1,490,397 | $430,914 | $333,872 |
| 2023 | 730 | 3,869 | $1,440,130 | $449,095 | $340,038 |
| 2022 | 674 | 4,201 | $1,380,431 | $470,175 | $364,717 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 2,318 | $49 | $37 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 454 | $46 | $35 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 123 | $633 | $496 |
| 94660 | Therapy procedure using a positive pressure ventilator | 116 | $64 | $49 |
| 91010 | Study of esophagus to assess movement | 103 | $216 | $172 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 99 | $127 | $97 |
| 95810 | Sleep study in sleep lab (6 years or older) | 86 | $612 | $476 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 68 | $176 | $139 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 60 | $213 | $158 |
| 95716 | Measurement of brain wave activity with video (veeg), 12-26 hours with continuous monitoring | 39 | $1,248 | $996 |
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 39 | $204 | $163 |
| 95700 | Measurement of brain wave activity (eeg), continuous | 39 | $250 | $199 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | ✓ | K7614 | TX |
| Neurology Physician | 2084N0400X | K7614 | TX | |
| Clinical Neurophysiology Physician | 2084N0600X | K7614 | 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.