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

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

Kristi Simmons (NPI 1548287246)

Field	Value
Entity Type	Individual
Organization	Kristi Simmons
Address	219 W Front St
City	Monroe
State	MI
ZIP	48161
Taxonomy	Physician Assistant
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicare	$8K
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
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	80	$50	$3.8K
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…	50	$50	$2.7K
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…	20	$70	$1.3K
G0444	Annual depression screening, 5 to 15 minutes	10	$20	$180
98966	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	10	$10	$70

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. Michigan Distribution

Kristi Simmons — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	545	850	140	$50	$17.3K
99214	14,047	15,470	80	$80	$11.4K
99213	8,349	14,810	60	$60	$6.6K
G0444	1,186	1,250	50	$20	$1.1K
98966	5	10	30	$10	$200

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abdul Kabir	MI	Internal Medicine Physician	$219.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chs Group LLC	MI	Case Manager/Care Coordinator	$0	$61.2M
Monroe County Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$55.3M
Monroe Community Ambulance	MI	Ambulance	$1.6M	$5.9M
Passion Of Mind Healing Center	MI	Methadone Clinic	$163.1K	$6.1M
The Surgical Institute Of Monroe Ambulatory Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$370.2K	$71.9K
Mahmood Moosa	MI	Endocrinology, Diabetes & Metabolism Physician	$215.1K	$4.2K
Michael Tilson	MI	Family Medicine Physician	$137.9K	$0

Kristi 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