Simmons, Mary

Simmons, Mary was paid $18K by Medicaid between Jan 2018 and Dec 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 96% of everything it billed.

33Billing provider infoSIMMONS, MARY
BELVIDERE, IL 61008

33aNPI1457373946assigned 07/24/2006

33bProvider typeFamily Medicine Physician

28Total paid$18K

24GClaims455

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,901 of 2,947

Median peer was paid$43K

This provider vs. median0.4×

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	99	$4K
2019	129	$5K
2020	65	$3K
2021	31	$824.46
2022	77	$3K
2023	54	$2K

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	96%	399	388	$17K
90686		4.4%	56	42	$792.66

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.