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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshley Simmons
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    Ashley Simmons — Billing Profile & Reimbursement Data

    NPI 1427593193 · Warrensville Heights, OH · Nurse Practitioner

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    Ashley Simmons is a nurse practitioner provider located in Warrensville Heights, Ohio. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAshley Simmons
    Address24865 Emery Rd
    CityWarrensville Heights
    StateOH
    ZIP44128
    TaxonomyNurse Practitioner
    NPI EnumeratedJanuary 4, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$783.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg10,410$40$374.7K
    J0897Injection, denosumab, 1 mg17,520$20$315.4K
    J1306Injection, inclisiran, 1 mg5,680$10$51.1K
    J1439Injection, ferric carboxymaltose, 1 mg14,250$1$14.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.330$40$12.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…60$80$4.5K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…410$10$3.3K
    96366The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.250$10$3K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…180$10$1.6K
    J3489Injection, zoledronic acid, 1 mg150$10$920

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J15692204,900$40$203.8K
    J13069107,380$10$83.4K
    J089782302,880$20$79.5K
    J1439172020,250$1$27.4K
    96413139210130$90$16.8K
    963651424060$40$4.6K
    96366107090$10$2.3K
    9637559150120$10$2.1K
    964158613060$20$1.9K
    96374296030$30$1.3K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Hospitals Medical Group IncOHMulti-Specialty Clinic/Center$0$107.5M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    University Primary Care Practices IncOHInternal Medicine Physician$0$78.7M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Partners Physician GroupOHSurgery Physician$0$28.5M
    Behavior Health & Wellness Center, LLCVABehavior Analyst$0$15.8M
    Susmita SakrutiTXHematology & Oncology Physician$1.5M$0
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Kourosh NaeiniCADiagnostic Radiology Physician$709.1K$120
    David WoodCADiagnostic Radiology Physician$641.3K$2.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Future Age Inc.OHNon-emergency Medical Transport (VAN)$0$18.6M
    Heart To Heart Health And WellnessOHCommunity/Behavioral Health Agency$0$7.8M
    University Hospitals Home Care Services IncOHHome Health Agency$0$7.7M
    24 7 Medical Transport CompanyOHAmbulance$518.8K$596.4K
    Brigid PoeOHDiagnostic Radiology Physician$119K$0
    Rosalinn Santa CruzOHDiagnostic Radiology Physician$114.4K$0
    Elias AntoniouOHDiagnostic Radiology Physician$109.3K$0
    Vjekoslav JerasOHDiagnostic Radiology Physician$95.6K$0
    Keiko HondaOHFamily Nurse Practitioner$83.4K$0
    Zahra KarimlooOHDiagnostic Radiology Physician$42.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Ashley Simmons — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio