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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSalmi Simmons
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    Salmi Simmons — Billing Profile & Reimbursement Data

    NPI 1679520498 · Darby, PA · Diagnostic Radiology Physician

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    Salmi Simmons is a diagnostic radiology physician provider located in Darby, Pennsylvania. This profile covers 19 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
    OrganizationSalmi Simmons
    Address1500 Lansdowne Ave
    CityDarby
    StatePA
    ZIP19023
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 27, 2006

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

    Payer SourceTotal Paid
    Medicare$41K
    Medicaid$240

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.80$90$7.2K
    36558The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…30$220$6.1K
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…60$90$5.3K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…10$280$4K
    32408In this procedure, the provider removes a core tissue sample from a lung or the mediastinum to diagnose conditions such as lung or mediastinal cancer. The code includes imaging guidance, when…20$130$2.9K
    50432The provider uses ultrasound and/or fluoroscopy (imaging technologies that display live images on a video monitor) to place a catheter through the skin (percutaneously) into the renal pelvis to…10$180$2.5K
    77012In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…30$60$1.9K
    51102Aspiration of bladder; with insertion of suprapubic catheter.10$120$1.6K
    36589In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.10$120$1.5K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…110$10$1.2K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3656112517020$280$6K
    365582914020$220$4.8K
    490836622040$80$3.9K
    5110241020$140$3.3K
    325552123030$80$3.2K
    710451,1141,210290$10$3K
    5043272010$220$3K
    36589527020$120$2.6K
    32408126020$120$2.2K
    710461,0301,70070$10$1.6K

    Showing 1–10 of 19

    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
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…120$1$250

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…568880320$10$19.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inspira Medical Centers, Inc.NJGeneral Acute Care Hospital$0$227M
    St. Luke's Physician Group, Inc.PAEmergency Medicine Physician$0$28.8M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Progressive Physician Assoc IncPADiagnostic Radiology Physician$0$8M
    Dennis KwonNJVascular & Interventional Radiology Physician$2.7M$0
    Lev PukinNYVascular & Interventional Radiology Physician$2.5M$11.3K
    Nicholas DzeboloCAInterventional Cardiology Physician$2.2M$170
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Shaya AnsariNYDiagnostic Radiology Physician$1.5M$1K
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Catholic Medical Center Of Southeastern PAPAGeneral Acute Care Hospital$0$27.8M
    Trinity Health Mid-atlantic Medical GroupPAEmergency Medicine Physician$0$9.8M
    Caresify LLCPAIn Home Supportive Care Agency$0$9.5M
    Advanced Hhs LLCPAHome Health Agency$0$7.6M
    Cory HawleyPAFoot & Ankle Surgery Podiatrist$1.4M$110
    Chad MetzgerPAInterventional Pain Medicine Physician$471.1K$0
    Malgorzata GoralczykPADiagnostic Radiology Physician$247.7K$0
    Frank ZiskowskiPAPodiatrist$215.7K$0
    Lorenzo GalindoPAAnatomic Pathology & Clinical Pathology Physician$210.3K$0
    Michael KormanPAPulmonary Disease Physician$199.2K$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. Pennsylvania Distribution
    Salmi Simmons — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Salmi Simmons — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania