JAMES SIMMONS, M.D
Pulmonary Disease Physician · PROVIDENCE, RI
Individual Active NPI 1538402557
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 168 | 365 | $121,781 | $46,234 | $35,952 |
| 2023 | 188 | 420 | $143,932 | $56,650 | $44,554 |
| 2022 | 176 | 394 | $135,074 | $53,984 | $41,555 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 158 | $207 | $164 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 43 | $117 | $93 |
| 94729 | Test to examine how well the lungs exchange gases | 28 | $57 | $40 |
| 94010 | Test to measure expiratory airflow and volume | 16 | $28 | $19 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 16 | $39 | $31 |
| 94726 | Test to determine lung volumes using sensors | 15 | $57 | $42 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | $129 | $103 |
| 94729 | Test to examine how well the lungs exchange gases | 11 | $9 | $6 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 11 | $12 | $8 |
| 94618 | Test for exercise-induced lung stress | 11 | $34 | $23 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | MD16685 | RI |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | LP03663 | RI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary Disease Physician providers in Rhode Island →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.