DONALD SIMMONS, MD
Family Medicine Physician · MUENSTER, TX
Individual Active NPI 1578556601
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 310 | 1,599 | $181,976 | $105,099 | $80,301 |
| 2023 | 1,166 | 9,574 | $902,043 | $563,464 | $415,881 |
| 2022 | 1,447 | 20,740 | $1,301,423 | $932,163 | $700,553 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 352 | $69 | $55 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 300 | $58 | $46 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 228 | $84 | $61 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 188 | $118 | $83 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 182 | $44 | $35 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 37 | $42 | $34 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 25 | $155 | $107 |
| G0008 | Administration of influenza virus vaccine | 16 | $16 | $16 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 15 | $38 | $31 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 13 | $124 | $99 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 11 | $34 | $34 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | L2010 | TX |
| Emergency Medicine Physician | 207P00000X | L2010 | 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.