SCOTT SIMMONS, MD
Orthopaedic Surgery Physician · PLEASANT PRAIRIE, WI
Individual Active NPI 1528175726
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 362 | 7,091 | $1,607,296 | $187,338 | $139,592 |
| 2023 | 393 | 6,279 | $1,711,167 | $204,450 | $154,429 |
| 2022 | 418 | 7,163 | $1,484,763 | $203,767 | $155,353 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 2,736 | $9 | $7 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,152 | $1 | $1 |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,020 | $6 | $5 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 841 | $0 | $0 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 239 | $83 | $62 |
| 20610 | Aspiration and/or injection of fluid from large joint | 235 | $61 | $45 |
| 73562 | X-ray of knee, 3 views | 227 | $45 | $32 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 128 | $119 | $79 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 59 | $103 | $67 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 56 | $52 | $37 |
| 73030 | X-ray of shoulder, minimum of 2 views | 44 | $36 | $25 |
| 73502 | X-ray of hip, 2-3 views | 34 | $43 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 45011 | WI |
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.