Simmons, Daniel
Simmons, Daniel was paid $333K by Medicaid between Jan 2018 and Mar 2021, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoSIMMONS, DANIEL
OREM, UT 84057
OREM, UT 84057
33aNPI1134196900assigned 03/01/2006
33bProvider typeSpecialist
28Total paid$333K
24GClaims9,571
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Specialist providers in Utah
Rank by total paid#6 of 39
Median peer was paid$25K
This provider vs. median13×
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 | 3,226 | $122K | |
| 2019 | 2,980 | $107K | |
| 2020 | 2,811 | $85K | |
| 2021 | 554 | $18K |
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% | 2,215 | 1,977 | $152K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 632 | 632 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 487 | 469 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 438 | 436 | $37K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 1,795 | 1,786 | $9K |
| 99177 | 2.2% | 1,062 | 1,061 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 61 | 61 | $5K |
| 90686 | <1% | 647 | 643 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 907 | 907 | $2K |
| 99051 | <1% | 107 | 107 | $638.78 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 117 | 75 | $517.02 |
| 90698 | <1% | 142 | 142 | $275.86 |
10 more codes
| 90685 | <1% | 94 | $223.82 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 129 | $201.26 |
| 90670 | <1% | 351 | $187.32 | |
| 96127 | <1% | 75 | $157.36 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $157.01 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 104 | $84.49 |
| 90633 | 0% | 27 | $0.00 | |
| 90474 | 0% | 77 | $0.00 | |
| 90680 | 0% | 77 | $0.00 | |
| 90651 | 0% | 14 | $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.