NP / PA
Simmons, Emily
Simmons, Emily was paid $314K by Medicaid between Oct 2018 and Dec 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 52% of everything it billed.
33Billing provider infoSIMMONS, EMILY
CHICAGO, IL 60611
CHICAGO, IL 60611
33aNPI1609844281assigned 03/09/2006
33bProvider typeNurse Practitioner
28Total paid$314K
24GClaims4,717
24DCodes billed8
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Illinois
Rank by total paid#78 of 1,687
Median peer was paid$22K
This provider vs. median14×
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 | 82 | $10K | |
| 2019 | 712 | $68K | |
| 2020 | 928 | $44K | |
| 2021 | 1,041 | $70K | |
| 2022 | 839 | $58K | |
| 2023 | 564 | $32K | |
| 2024incomplete | 551 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 52% | 1,684 | 1,460 | $162K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 30% | 771 | 519 | $95K |
| 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 | 11% | 587 | 492 | $35K |
| 94010 | 3.6% | 1,362 | 1,304 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 170 | 110 | $6K |
| 99245 | 1.1% | 16 | 14 | $3K | |
| 90686 | <1% | 100 | 70 | $668.80 | |
| 94060 | <1% | 27 | 24 | $340.51 |
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.