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    OpenPayerNPI Medicare & MedicaidAlison Simmons
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    Alison Simmons — Billing Profile & Reimbursement Data

    NPI 1457902884 · Quincy, IL · Occupational Therapist

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    Alison Simmons is a occupational therapist provider located in Quincy, Illinois. This profile covers 4 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAlison Simmons
    Address1025 Maine St
    CityQuincy
    StateIL
    ZIP62301
    TaxonomyOccupational Therapist
    NPI EnumeratedSeptember 26, 2019

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

    Payer SourceTotal Paid
    Medicaid$29.1K
    Medicare$9.2K

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…230$20$4.6K
    97542In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.100$20$1.9K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…110$20$1.7K
    97166The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…10$70$980

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    971103,1444,100480$20$12.9K
    971402,4193,120230$20$5.4K
    97542920100$20$4.1K
    9716615920020$70$2.1K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…950$30$29.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…4821,220540$60$179.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Quincy Physicians & Surgeons Clinic, PLLCILRural Health Clinic/Center$0$21.3M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Quincy Physicians & Surgeons Clinic, PLLCILClinical Medical Laboratory$1.6M$4.1M
    Quincy Physicians & Surgeons Clinic, PLLCILRural Health Clinic/Center$0$5.7M
    Quincy Physicians & Surgeons Clinic, PLLCILAmbulatory Surgical Clinic/Center$2.5M$0
    Abram GeisendorferILOphthalmology Physician$1.8M$116.2K
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M
    Linda CookeMODermatology Physician$1.8M$0
    Raymond SmithILHematology & Oncology Physician$1.5M$54.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$9.4M
    Blessing HospitalILRural Health Clinic/Center$0$5.1M
    International Eyecare Center LLCILOptometrist$0$3.6M
    Denman Services, Inc.ILDurable Medical Equipment & Medical Supplies$0$2.9M
    Robert HaagILDiagnostic Radiology Physician$946.5K$416.5K
    Muhammad AliILHematology & Oncology Physician$1.2M$64.9K
    Travis MooreILFamily Medicine Physician$1.2M$15.9K
    Gerald RileyILDiagnostic Radiology Physician$816.6K$285.5K
    Air Evac Ems Inc.ILAir Ambulance$823.9K$37.7K
    Ernest WallaceILFamily Medicine Physician$829.9K$23.3K

    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. Illinois Distribution
    Alison Simmons — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Alison Simmons — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois