Simmons Early Intervention Therapy, LLC
Simmons Early Intervention Therapy, LLC was paid $12.90M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 99% of everything it billed.
33Billing provider infoSIMMONS EARLY INTERVENTION THERAPY, LLC
GOLDSBORO, NC 27534
GOLDSBORO, NC 27534
33aNPI1356566756assigned 04/13/2007
33bProvider typeDevelopmental Therapist
28Total paid$12.90M
24GClaims96,087
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmental Therapist providers in North Carolina
Rank by total paid#1 of 19
Median peer was paid$726K
This provider vs. median18×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration99% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
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 | 9,259 | $607K | |
| 2019 | 7,402 | $474K | |
| 2020 | 6,169 | $388K | |
| 2021 | 7,320 | $591K | |
| 2022 | 6,318 | $757K | |
| 2023 | 21,043 | $3.50M | |
| 2024incomplete | 38,576 | $6.58M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 99% | 95,335 | 9,553 | $12.80M |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 752 | 110 | $97K |
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 officialSIMMONS, SHONTA (EARLY INTERVENTION THERAPIST)