Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kentucky (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ruth Simons (NPI 1104925023)

Field	Value
Entity Type	Individual
Organization	Ruth Simons
Address	3 Audubon Plaza Dr Ste 610
City	Louisville
State	KY
ZIP	40217
Taxonomy	Hospice and Palliative Medicine (Internal Medicine) Physician
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicare	$15.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$130	$7.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$90	$4.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$60	$1.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	20	$60	$1K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	40	$20	$900

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Ruth Simons — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,107	1,800	80	$90	$14.1K
99232	2,469	2,860	100	$60	$11.6K
99223	706	1,940	40	$130	$8.6K
99497	263	330	40	$60	$4.9K
G0316	6	20	30	$20	$1.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ruth Simons, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norton Hospitals Inc	KY	General Acute Care Hospital	$0	$419.8M
Norton Hospitals, Inc	KY	General Acute Care Hospital	$0	$299.3M
Norton Hospitals Inc	KY	Multi-Specialty Clinic/Center	$0	$3.4M
Norton Hospitals Inc	KY	Land Ambulance	$791.2K	$77.1K
Emmanuel Nidhiry	KY	Medical Oncology Physician	$347.6K	$0
Aaron Spalding	KY	Radiation Oncology Physician	$227.5K	$0
Tamberly Mccoy	KY	Family Medicine Physician	$166.4K	$0
Joseph Maly	KY	Hematology & Oncology Physician	$164.3K	$0
Yong Cha	KY	Radiation Oncology Physician	$153.8K	$0
Nadeem Usmani	KY	Pain Medicine (Anesthesiology) Physician	$151.6K	$0

Nearby Providers

Other providers in the same ZIP code as Ruth Simons, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Counseling Center, LLC	KY	Counselor	$0	$33.4M
Southern Emergency Medical Specialists, P.s.c.	KY	Emergency Medicine Physician	$0	$17.7M
Volunteers Of America Of Kentucky Inc	KY	Addiction (Substance Use Disorder) Counselor	$0	$13.5M
Volunteers Of America Mid-states	KY	Community/Behavioral Health Agency	$0	$12.3M
Diagnostic X-ray Physicians, Psc	KY	Diagnostic Radiology Physician	$0	$7.7M
Sleep Management, L.L.C.	KY	Oxygen Equipment & Supplies (DME)	$0	$7.5M
Cerebral Palsy Kids Center Inc	KY	Health Service Clinic/Center	$0	$3.6M
Patricia Hansen	KY	Internal Medicine Physician	$2.6M	$0
Mercury Ambulance Service Inc	KY	Land Ambulance	$407.4K	$2.2M
Louisville Endoscopy Center, PLLC	KY	Ambulatory Surgical Clinic/Center	$688K	$454K

Ruth Simons — Billing Profile & Reimbursement Data

Sign up for Ruth Simons — Billing Profile & Reimbursement Data policy alerts

Ruth Simons — Billing Profile & Reimbursement Data

Sign up for Ruth Simons — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References