Simmons, David

Simmons, David was paid $23K by Medicaid between Mar 2018 and Nov 2020, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 82% of everything it billed.

33Billing provider infoSIMMONS, DAVID
MEMPHIS, TN 38119

33aNPI1184608721assigned 12/06/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$23K

24GClaims1,869

24DCodes billed3

24AFirst – last monthMar 2018 – Nov 2020

Compared with peers

Next to other Cardiovascular Disease Physician providers in Tennessee

Rank by total paid#65 of 136

Median peer was paid$21K

This provider vs. median1.1×

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	578	$7K
2019	984	$12K
2020	307	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	82%	1,635	496	$19K
99222	Initial hospital care, per day, moderate complexity	14%	150	122	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.8%	84	72	$862.92

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.