Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOHN F. SIMMONS M.D. P.C

NPI: 1053425595 · GENEVA, AL 36340 · Family Medicine Physician · NPI assigned 08/19/2006

$831K
Total Medicaid Paid
25,507
Total Claims
22,411
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSIMMONS, JOHN (DOCTOR)
NPI Enumeration Date08/19/2006

Related Entities

Other providers sharing the same authorized official: SIMMONS, JOHN

ProviderCityStateTotal Paid
VINTON COUNTY LOCAL SCHOOLS MC ARTHUR OH $489K
JOHN C SIMMONS M.D. LINDEN AL $395K
NEW MEXICO BRAIN INSTITUTE, INC. ALAMOGORDO NM $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,156 $119K
2019 5,213 $143K
2020 4,041 $125K
2021 3,718 $130K
2022 3,234 $124K
2023 2,633 $114K
2024 1,512 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,832 6,040 $380K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,725 4,161 $331K
99232 Subsequent hospital care, per day, moderate complexity 818 244 $26K
99307 932 845 $15K
99309 Subsequent nursing facility care, per day, low to moderate complexity 465 403 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,143 1,073 $10K
99318 136 133 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 71 70 $7K
90686 349 338 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 272 251 $6K
99308 Subsequent nursing facility care, per day, straightforward 209 188 $4K
36415 Collection of venous blood by venipuncture 2,645 2,538 $4K
99215 Prolong outpt/office vis 26 24 $3K
90688 219 208 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 39 37 $2K
90656 83 82 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 351 337 $1K
99310 Prolong nursin fac eval 15m 33 27 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 334 207 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 74 69 $980.00
90682 55 55 $898.49
92551 151 149 $720.00
81000 223 215 $703.23
J1040 Injection, methylprednisolone acetate, 80 mg 144 130 $690.05
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 67 64 $660.00
71046 Radiologic examination, chest; 2 views 68 46 $632.11
99173 123 122 $595.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 16 16 $421.92
90756 21 21 $420.00
86328 29 29 $348.26
93000 12 12 $252.00
J1030 Injection, methylprednisolone acetate, 40 mg 335 317 $222.21
99497 129 129 $192.44
J0696 Injection, ceftriaxone sodium, per 250 mg 12 12 $24.13
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,177 1,810 $0.00
G8482 Influenza immunization administered or previously received 667 593 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 327 289 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 114 107 $0.00
4004F 14 13 $0.00
4040F 53 53 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 17 17 $0.00
90662 14 14 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 17 15 $0.00
G0008 Administration of influenza virus vaccine 101 100 $0.00
1123F 104 104 $0.00
1036F 435 385 $0.00
1101F 59 59 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 118 118 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 14 14 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 22 22 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 113 106 $0.00