BENJAMIN SIMMONS, MD
Family Medicine Physician · MONROE, NC
Individual Active NPI 1548497381
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 189 | 567 | $116,895 | $39,750 | $31,237 |
| 2023 | 206 | 457 | $112,635 | $39,848 | $29,213 |
| 2022 | 223 | 432 | $97,340 | $35,243 | $24,689 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 77 | $123 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 74 | $87 | $61 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 61 | $76 | $60 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 47 | $16 | $12 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 28 | $118 | $118 |
| 99239 | Hospital discharge day management, more than 30 minutes | 25 | $111 | $85 |
| 83036 | Hemoglobin a1c level | 20 | $10 | $10 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | $126 | $94 |
| G0008 | Administration of influenza virus vaccine | 13 | $30 | $30 |
| 81003 | Automated urinalysis test | 13 | $2 | $2 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 2012-01385 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Family Medicine Physician providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.