Simmons, Scott

Simmons, Scott was paid $54K by Medicaid between Jan 2018 and Oct 2020, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoSIMMONS, SCOTT
CREVE COEUR, MO 63141

33aNPI1740496199assigned 05/15/2007

33bProvider typeEmergency Medicine Physician

28Total paid$54K

24GClaims1,134

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Missouri

Rank by total paid#110 of 571

Median peer was paid$14K

This provider vs. median3.8×

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	227	$8K
2019	417	$22K
2020	490	$24K

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	70%	810	745	$38K
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	12%	87	83	$7K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.8%	46	43	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.1%	34	34	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.3%	48	42	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	31	30	$520.81
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	12	$456.06
90698		<1%	18	18	$387.54
90670		<1%	31	31	$217.79
90686		<1%	16	16	$119.84

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.