Simmons, Roxanne

Simmons, Roxanne was paid $95K by Medicaid between Jan 2018 and Aug 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoSIMMONS, ROXANNE
LINCOLN, RI 02865

33aNPI1750341228assigned 03/27/2006

33bProvider typePediatrics Physician

28Total paid$95K

24GClaims3,591

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#155 of 265

Median peer was paid$133K

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	961	$29K
2019	1,010	$23K
2020	670	$14K
2021	334	$10K
2022	616	$19K

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	74%	1,213	1,030	$70K
90460	Immunization administration through 18 years of age via any route, first or only component	13%	640	580	$12K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	6.8%	472	222	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.8%	49	45	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.2%	42	42	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	111	108	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.1%	13	13	$1K
99173		<1%	230	210	$482.93
81002		<1%	221	200	$478.44
90686		<1%	576	287	$295.00
96127		<1%	24	12	$56.40

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.