Physician
DR Ralph E Simms INC
DR Ralph E Simms INC was paid $1.10M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoDR RALPH E SIMMS INC
GLEN DANIEL, WV 25844
GLEN DANIEL, WV 25844
33aNPI1205948528assigned 08/31/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.10M
24GClaims28,848
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#34 of 202
Median peer was paid$172K
This provider vs. median6.4×
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 | 5,271 | $214K | |
| 2019 | 1,996 | $89K | |
| 2020 | 5,187 | $168K | |
| 2021 | 4,486 | $148K | |
| 2022 | 5,060 | $191K | |
| 2023 | 3,815 | $158K | |
| 2024incomplete | 3,033 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 8,930 | 7,467 | $538K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 7,516 | 6,375 | $384K |
| 36415 | Collection of venous blood by venipuncture | 3.5% | 4,621 | 3,919 | $38K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.4% | 2,545 | 1,910 | $37K |
| 99000 | 2.4% | 866 | 793 | $26K | |
| 81003 | 1.4% | 1,583 | 1,443 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 124 | 115 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 503 | 458 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 604 | 256 | $8K |
| 92551 | <1% | 477 | 425 | $7K | |
| 92081 | <1% | 299 | 257 | $7K | |
| 99401 | <1% | 54 | 53 | $4K |
16 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 108 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 105 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 34 | $2K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 76 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 90734 | <1% | 76 | $687.99 | |
| 90649 | <1% | 20 | $674.75 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 23 | $637.94 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 28 | $612.58 |
| 99422 | <1% | 54 | $565.54 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 61 | $362.33 |
| 99421 | <1% | 51 | $231.82 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 16 | $84.45 |
| 90715 | <1% | 16 | $66.88 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 20 | $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 officialSIMMS, RALPH (PHYSICIAN OWNER)