Behavioral
Simmons Medical Group PC
Simmons Medical Group PC was paid $355K by Medicaid between Jan 2018 and Aug 2023, across 66 billing codes. Its largest line is 99350, Prolong home eval add 15m — 17% of everything it billed.
33Billing provider infoSIMMONS MEDICAL GROUP PC
LIVONIA, MI 48152
LIVONIA, MI 48152
33aNPI1114324969assigned 11/21/2014
33bProvider typeClinical Social Worker
28Total paid$355K
24GClaims43,526
24DCodes billed66
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Clinical Social Worker providers in Michigan
Rank by total paid#81 of 411
Median peer was paid$49K
This provider vs. median7.3×
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 | 1,704 | $33K | |
| 2019 | 2,744 | $39K | |
| 2020 | 4,441 | $35K | |
| 2021 | 20,308 | $126K | |
| 2022 | 13,498 | $94K | |
| 2023 | 831 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 17% | 1,907 | 1,736 | $62K |
| 99349 | 11% | 1,999 | 1,847 | $40K | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 8.8% | 2,443 | 2,430 | $31K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 524 | 494 | $26K |
| 99491 | Ccm add 20min | 7.2% | 739 | 738 | $26K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.1% | 5,377 | 4,580 | $22K |
| 99487 | Ccm add 20min | 5.5% | 396 | 395 | $20K |
| 99358 | Prolong nursin fac eval 15m | 4.5% | 688 | 687 | $16K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 3.6% | 1,267 | 1,265 | $13K |
| 99348 | 3.4% | 1,171 | 1,103 | $12K | |
| 99337 | 3.3% | 295 | 277 | $12K | |
| 99490 | Ccm add 20min | 1.9% | 410 | 405 | $7K |
54 more codes
| 99443 | 1.8% | 175 | $6K | |
| 98929 | 1.5% | 462 | $5K | |
| 99497 | 1.4% | 549 | $5K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 342 | $3K |
| 99439 | <1% | 82 | $3K | |
| 98928 | <1% | 359 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 44 | $3K |
| 99354 | <1% | 490 | $3K | |
| 17000 | <1% | 390 | $3K | |
| 99489 | Ccm add 20min | <1% | 95 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,395 | $2K |
| 82607 | <1% | 291 | $2K | |
| 84480 | <1% | 294 | $2K | |
| 82746 | <1% | 291 | $2K | |
| 84439 | <1% | 344 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 4,156 | $2K |
| 69210 | <1% | 438 | $2K | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 155 | $2K |
| 99406 | <1% | 508 | $1K | |
| 82962 | <1% | 2,994 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $1K |
| 99345 | Prolong home eval add 15m | <1% | 58 | $1K |
| 81002 | <1% | 2,911 | $1K | |
| 90756 | <1% | 111 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,770 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,880 | $983.17 |
| 99407 | <1% | 147 | $975.86 | |
| 99328 | <1% | 14 | $859.15 | |
| 94010 | <1% | 387 | $832.41 | |
| 96127 | <1% | 262 | $650.76 | |
| 94060 | <1% | 183 | $629.59 | |
| 99347 | <1% | 35 | $625.17 | |
| 20610 | <1% | 88 | $415.98 | |
| 17003 | <1% | 194 | $403.19 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $383.13 |
| 11200 | <1% | 65 | $375.12 | |
| 90674 | <1% | 39 | $324.47 | |
| 99483 | Prolong outpt/office vis | <1% | 675 | $306.06 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 172 | $188.54 |
| 93000 | <1% | 37 | $145.94 | |
| G0008 | Administration of influenza virus vaccine | <1% | 88 | $100.10 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 106 | $97.79 |
| 64505 | <1% | 29 | $79.44 | |
| 64445 | <1% | 26 | $74.88 | |
| 82270 | <1% | 85 | $72.40 | |
| 20550 | <1% | 12 | $16.25 | |
| J1940 | Injection, furosemide, up to 20 mg | <1% | 180 | $12.46 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 277 | $1.73 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 75 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 27 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 13 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 221 | $0.00 |
| 2000F | 0% | 172 | $0.00 | |
| 3008F | 0% | 91 | $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 officialTAROCKOFF, IAN (VICE PRESIDENT)