Simmons, Gregory

Simmons, Gregory was paid $102K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 20610, — 60% of everything it billed.

33Billing provider infoSIMMONS, GREGORY
BELLEVILLE, IL 62226

33aNPI1194729871assigned 06/09/2005

33bProvider typeOrthopaedic Surgery Physician

28Total paid$102K

24GClaims5,452

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#77 of 422

Median peer was paid$21K

This provider vs. median4.9×

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	444	$6K
2019	403	$6K
2020	854	$15K
2021	1,145	$24K
2022	954	$17K
2023	1,010	$18K
2024incomplete	642	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
20610		60%	1,965	1,458	$61K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	867	762	$20K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	8.3%	1,038	843	$8K
J1030	Injection, methylprednisolone acetate, 40 mg	8.1%	977	843	$8K
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	3.6%	159	133	$4K
20552		<1%	71	66	$582.27
3008F		0%	375	317	$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.