SIMMONS EARLY INTERVENTION THERAPY, LLC
NPI: 1356566756
· GOLDSBORO, NC 27534
· Developmental Therapist
· NPI assigned 04/13/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
$12.90M
Total Medicaid Paid
9,663
Beneficiary Records
Provider Details
| Authorized Official | SIMMONS, SHONTA (EARLY INTERVENTION THERAPIST) |
| NPI Enumeration Date | 04/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,259 |
$607K |
| 2019 |
7,402 |
$474K |
| 2020 |
6,169 |
$388K |
| 2021 |
7,320 |
$591K |
| 2022 |
6,318 |
$757K |
| 2023 |
21,043 |
$3.50M |
| 2024 |
38,576 |
$6.58M |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
95,335 |
9,553 |
$12.80M |
| H0038 |
Self-help/peer services, per 15 minutes |
752 |
110 |
$97K |