Physician
John F. Simmons M.D. P.C
John F. Simmons M.D. P.C was paid $831K by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoJOHN F. SIMMONS M.D. P.C
GENEVA, AL 36340
GENEVA, AL 36340
33aNPI1053425595assigned 08/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$831K
24GClaims25,507
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#53 of 455
Median peer was paid$57K
This provider vs. median15×
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 | 5,156 | $119K | |
| 2019 | 5,213 | $143K | |
| 2020 | 4,041 | $125K | |
| 2021 | 3,718 | $130K | |
| 2022 | 3,234 | $124K | |
| 2023 | 2,633 | $114K | |
| 2024incomplete | 1,512 | $76K |
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 | 46% | 6,832 | 6,040 | $380K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 40% | 4,725 | 4,161 | $331K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 818 | 244 | $26K |
| 99307 | 1.8% | 932 | 845 | $15K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.6% | 465 | 403 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 1,143 | 1,073 | $10K |
| 99318 | 1.0% | 136 | 133 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 71 | 70 | $7K |
| 90686 | <1% | 349 | 338 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 272 | 251 | $6K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 209 | 188 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,645 | 2,538 | $4K |
39 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $3K |
| 90688 | <1% | 219 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | $2K |
| 90656 | <1% | 83 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 351 | $1K |
| 99310 | Prolong nursin fac eval 15m | <1% | 33 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 334 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 74 | $980.00 |
| 90682 | <1% | 55 | $898.49 | |
| 92551 | <1% | 151 | $720.00 | |
| 81000 | <1% | 223 | $703.23 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 144 | $690.05 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 67 | $660.00 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 68 | $632.11 |
| 99173 | <1% | 123 | $595.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $421.92 |
| 90756 | <1% | 21 | $420.00 | |
| 86328 | <1% | 29 | $348.26 | |
| 93000 | <1% | 12 | $252.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 335 | $222.21 |
| 99497 | <1% | 129 | $192.44 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 12 | $24.13 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,177 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 667 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 327 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 114 | $0.00 |
| 4004F | 0% | 14 | $0.00 | |
| 4040F | 0% | 53 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 17 | $0.00 |
| 90662 | 0% | 14 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 17 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 101 | $0.00 |
| 1123F | 0% | 104 | $0.00 | |
| 1036F | 0% | 435 | $0.00 | |
| 1101F | 0% | 59 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 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) | 0% | 14 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 22 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 113 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialSIMMONS, JOHN (DOCTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.