GARRICK SIMMONS, M.D.
Urology Physician · MISSOULA, MT
Individual Active NPI 1912940693
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 504 | 3,505 | $577,634 | $268,778 | $203,236 |
| 2023 | 657 | 9,433 | $1,230,225 | $613,591 | $472,461 |
| 2022 | 707 | 11,140 | $1,564,995 | $847,937 | $660,616 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 450 | $17 | $11 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 352 | $94 | $60 |
| 36415 | Insertion of needle into vein for collection of blood sample | 210 | $9 | $9 |
| 84153 | Psa (prostate specific antigen) measurement, total | 199 | $18 | $18 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 179 | $133 | $90 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 132 | $12 | $8 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 90 | $177 | $139 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 80 | $249 | $189 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 70 | $64 | $45 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $173 | $111 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 43 | $3 | $3 |
| 76872 | Ultrasound scan of pelvic region through rectum | 42 | $145 | $115 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 9926 | MT |
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.