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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Michael Simmons (NPI 1447349915)

Field	Value
Entity Type	Individual
Organization	Michael Simmons
Address	975 Baptist Way
City	Homestead
State	FL
ZIP	33033
Taxonomy	Primary Podiatric Medicine Podiatrist
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicare	$195.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	500	$110	$52.7K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	880	$50	$47.5K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	510	$60	$30.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	250	$70	$18.3K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	250	$50	$13.1K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	290	$40	$10.4K
G0127	Trimming of dystrophic nails, any number	960	$10	$8.7K
11057	The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	60	$70	$3.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	40	$110	$3.9K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	30	$120	$3.5K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Michael Simmons — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	328	1,570	140	$90	$27.4K
99214	26,276	32,760	140	$90	$25K
11721	443	960	250	$30	$14.9K
11056	165	510	140	$60	$14.6K
99213	6,650	30,010	80	$60	$12K
99348	161	1,320	90	$50	$12K
97597	514	630	60	$60	$7.3K
11057	80	170	50	$60	$6.9K
11055	8	370	60	$50	$6.3K
G0127	22	250	190	$10	$4.7K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bradley Makimaa	FL	Primary Podiatric Medicine Podiatrist	$319.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homestead Hospital, Inc.	FL	General Acute Care Hospital	$0	$28.4M
Variety Children's Hospital	FL	Children's Hospital	$0	$13.4M
Nivia E. Vazquez, M.d.,p.a.	FL	Pediatrics Physician	$0	$7.7M

Michael Simmons — Billing Profile & Reimbursement Data

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Michael Simmons — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References