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

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

Schuylar Cox-simmons (NPI 1629644018)

Field	Value
Entity Type	Individual
Organization	Schuylar Cox-simmons
Address	541 W College St Ste 3300
City	Florence
State	AL
ZIP	35630
Taxonomy	Nurse Practitioner
NPI Enumerated	May 27, 2021

Payer Source	Total Paid
Medicare	$13.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	150	$50	$7.4K
99203	The provider sees a new 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 provider…	70	$60	$4K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	110	$10	$740
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	210	$1	$640
P9612	Catheterization for collection of specimen, single patient, all places of service	30	$10	$260
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$160

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Schuylar Cox-simmons — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	1,923	6,470	80	$50	$7.9K
36415	1,234	1,550	100	$10	$4.8K
99203	435	2,210	30	$70	$3.1K
81001	41	330	50	$1	$1.2K
51798	77	160	100	$10	$1K
P9612	5	10	20	$10	$360

Related Providers

Other providers that share a Tax Identification Number (TIN) with Schuylar Cox-simmons, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Reed	TN	Gynecologic Oncology Physician	$2.3M	$0
Eugene Jalbert	FL	Rheumatology Physician	$1.8M	$0
Ecm Health Group LLC	AL	Obstetrics & Gynecology Physician	$0	$1.1M
Majid Aized	MI	Surgery Physician	$884.6K	$0
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Ryan Jean-baptiste	CA	Diagnostic Radiology Physician	$517K	$47K
Dwight Matthew	AL	Nephrology Physician	$330.4K	$0
Jeremy Theisen	OK	Diagnostic Radiology Physician	$308.4K	$0
John Baron	AL	Cardiovascular Disease Physician	$304.3K	$0
William Heaton	AL	Cardiovascular Disease Physician	$302.1K	$0

Schuylar Cox-simmons — Billing Profile & Reimbursement Data

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Schuylar Cox-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

Frequently Asked Questions

References