Simmons, James

Simmons, James was paid $39K by Medicaid between Nov 2021 and Aug 2023, across 1 billing code. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 100% of everything it billed.

33Billing provider infoSIMMONS, JAMES
PROVIDENCE, RI 02903

33aNPI1538402557assigned 03/27/2013

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$39K

24GClaims168

24DCodes billed1

24AFirst – last monthNov 2021 – Aug 2023

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Rhode Island

Rank by total paid#6 of 13

Median peer was paid$36K

This provider vs. median1.1×

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
2021	29	$3K
2022	110	$29K
2023	29	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	100%	168	58	$39K

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.