Simmons, Marc

Simmons, Marc was paid $86K by Medicaid between Jan 2023 and Dec 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 60% of everything it billed.

33Billing provider infoSIMMONS, MARC
LAWRENCE, MA 01841

33aNPI1164408506assigned 12/19/2005

33bProvider typeEmergency Medicine Physician

28Total paid$86K

24GClaims1,563

24DCodes billed3

24AFirst – last monthJan 2023 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#103 of 618

Median peer was paid$8K

This provider vs. median10×

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
2023	770	$40K
2024incomplete	793	$45K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	60%	801	769	$51K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	29%	642	609	$25K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	11%	120	118	$10K

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.