Simmons, Todd

Simmons, Todd was paid $146K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoSIMMONS, TODD
PARK RIDGE, IL 60068

33aNPI1053402552assigned 09/27/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$146K

24GClaims3,529

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#49 of 422

Median peer was paid$21K

This provider vs. median7.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	104	$3K
2019	331	$11K
2020	369	$13K
2021	566	$24K
2022	871	$37K
2023	571	$23K
2024incomplete	717	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	50%	1,910	1,595	$73K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	45%	1,389	1,334	$65K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	4.9%	230	212	$7K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.