Simmons, Jay
Simmons, Jay was paid $7K by Medicaid between Feb 2018 and May 2019, across 2 billing codes. Its largest line is 99285, emergency room visit (most serious) — 89% of everything it billed.
33Billing provider infoSIMMONS, JAY
PROVO, UT 84604
PROVO, UT 84604
33aNPI1710399944assigned 05/22/2014
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$7K
24GClaims65
24DCodes billed2
24AFirst – last monthFeb 2018 – May 2019
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Utah
Rank by total paid#38 of 66
Median peer was paid$9K
This provider vs. median0.7×
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 | 52 | $6K | |
| 2019 | 13 | $746.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 89% | 52 | 50 | $6K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 13 | 13 | $746.96 |
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.