Physician
Vivian Simmons MD Family Practice
Vivian Simmons MD Family Practice was paid $183K by Medicaid between Sep 2019 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoVIVIAN SIMMONS MD FAMILY PRACTICE
HARTFORD, AL 36344
HARTFORD, AL 36344
33aNPI1366098972assigned 08/11/2019
33bProvider typeFamily Medicine Physician
28Total paid$183K
24GClaims4,967
24DCodes billed10
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#149 of 455
Median peer was paid$57K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2019 | 583 | $8K | |
| 2020 | 1,123 | $27K | |
| 2021 | 868 | $32K | |
| 2022 | 903 | $43K | |
| 2023 | 1,014 | $45K | |
| 2024incomplete | 476 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 2,517 | 2,107 | $104K |
| 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 | 38% | 1,056 | 911 | $69K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 358 | 296 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 200 | 174 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 155 | 124 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 70 | 70 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 22 | 12 | $857.30 |
| 36415 | Collection of venous blood by venipuncture | <1% | 403 | 361 | $652.00 |
| 81003 | <1% | 164 | 130 | $356.88 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 22 | 14 | $58.37 |
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, VIVIAN (OWNER)