Simmons, Danielle

Simmons, Danielle was paid $122K by Medicaid between Jan 2018 and Sep 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoSIMMONS, DANIELLE
PROVIDENCE, RI 02905

33aNPI1477989929assigned 09/16/2013

33bProvider typeFamily Nurse Practitioner

28Total paid$122K

24GClaims3,150

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Family Nurse Practitioner providers in Rhode Island

Rank by total paid#47 of 266

Median peer was paid$31K

This provider vs. median4.0×

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	592	$23K
2019	377	$16K
2020	710	$26K
2021	790	$31K
2022	681	$27K

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	93%	2,721	2,386	$113K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.8%	138	127	$3K
80053	Comprehensive metabolic panel	<1%	51	49	$1K
84443	Thyroid stimulating hormone (TSH)	<1%	26	25	$914.70
80061	Lipid panel	<1%	29	27	$896.28
99442		<1%	29	28	$840.13
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	<1%	14	14	$573.26
83036	Hemoglobin; glycosylated (A1C)	<1%	37	37	$546.10
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	63	62	$528.80
36415	Collection of venous blood by venipuncture	<1%	42	38	$258.47

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.