Simmons, David

Simmons, David was paid $10K by Medicaid between Jan 2018 and Nov 2018, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 55% of everything it billed.

33Billing provider infoSIMMONS, DAVID
ABINGDON, VA 24211

33aNPI1609046747assigned 03/05/2008

33bProvider typeEmergency Medicine Physician

28Total paid$10K

24GClaims138

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Emergency Medicine Physician providers in Virginia

Rank by total paid#146 of 447

Median peer was paid$6K

This provider vs. median1.8×

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	138	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	55%	71	71	$6K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	31%	32	31	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	13%	35	32	$1K

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.