Simmons, James

Simmons, James was paid $72K by Medicaid between Jul 2019 and Oct 2019, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

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
2019	1,375	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	37%	261	243	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	169	156	$12K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	13%	81	81	$9K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	88	88	$9K
97802		7.3%	210	210	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.7%	48	48	$5K
90461		3.1%	97	97	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	3.1%	175	174	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	34	34	$438.26
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	20	20	$432.20
96127		<1%	50	50	$348.75
90656		0%	42	42	$0.00

4 more codes

90734		0%	28	$0.00
90710		0%	12	$0.00
90649		0%	34	$0.00
90715		0%	26	$0.00

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.