LISA SIMMONS, MD
Hematology & Oncology Physician · FREDERICKSBURG, VA
Individual Active NPI 1790773737
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 293 | 22,004 | $1,022,496 | $523,600 | $415,206 |
| 2023 | 153 | 6,592 | $282,189 | $118,023 | $94,227 |
| 2022 | 1,401 | 262,070 | $9,481,788 | $4,643,607 | $3,708,323 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 296 | $0 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 181 | $8 | $8 |
| 36415 | Insertion of needle into vein for collection of blood sample | 172 | $9 | $9 |
| 80053 | Blood test, comprehensive group of blood chemicals | 137 | $10 | $10 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 88 | $88 | $55 |
| 96367 | Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 67 | $27 | $20 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 65 | $124 | $94 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 43 | $124 | $85 |
| 82728 | Ferritin (blood protein) level | 41 | $13 | $13 |
| 83540 | Iron level | 39 | $6 | $6 |
| 83550 | Iron binding capacity | 39 | $9 | $9 |
| 96372 | Injection of drug or substance under skin or into muscle | 38 | $14 | $10 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | ✓ | 0101251664 | VA |
| Hematology & Oncology Physician | 207RH0003X | 33840 | IA |
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.