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NPI 1760507651 · Chicago, IL · Family Medicine Physician
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Janita Simpkins is a family medicine physician provider located in Chicago, Illinois. This profile covers 16 Medicare and 7 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Janita Simpkins |
| Address | 654 E 47th St |
| City | Chicago |
| State | IL |
| ZIP | 60653 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | March 20, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $215.1K |
| Medicaid | $29.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 700 | $150 | $105.6K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and… | 670 | $90 | $56.8K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | $130 | $8.2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 280 | $30 | $7.4K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and… | 220 | $30 | $7.1K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 90 | $80 | $6.9K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 30 | $220 | $6K |
| 99345 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75… | 30 | $160 | $4K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 100 | $40 | $3.9K |
| 99491 | The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare… | 40 | $70 | $2.9K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0181 | 11 | 170 | 70 | $80 | $20.1K |
| 99350 | 8 | 340 | 60 | $140 | $18.3K |
| G0439 | 2,183 | 4,030 | 70 | $130 | $13.6K |
| 99491 | 56 | 70 | 110 | $60 | $12.7K |
| 99215 | 5,305 | 6,240 | 40 | $120 | $10.1K |
| 99497 | 296 | 970 | 50 | $60 | $5.5K |
| 99496 | 165 | 560 | 20 | $210 | $5.5K |
| 99345 | 62 | 150 | 20 | $140 | $5K |
| G0446 | 52 | 60 | 60 | $30 | $2.8K |
| G0179 | 22 | 290 | 30 | $30 | $2.7K |
Showing 1–10 of 16
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and… | 1,080 | $20 | $23.7K |
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 1,570 | $1 | $3.1K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 400 | $1 | $1.6K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and… | 10 | $20 | $220 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 10 | $10 | $170 |
| 99354 | N/A | 30 | $0 | $0 |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 70 | $0 | $0 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99354 | N/A | 7 | 10 | 40 | $50 | $16K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 393 | 2,320 | 70 | $50 | $13.8K |
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 6 | 150 | 130 | $30 | $11.7K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and… | 9 | 70 | 200 | $20 | $9.2K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and… | 47 | 50 | 130 | $10 | $2.3K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 55 | 60 | 70 | $10 | $2K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 28 | 80 | 50 | $10 | $560 |
Other providers in the same ZIP code as Janita Simpkins, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Near North Health Service Corporation | IL | Federally Qualified Health Center (FQHC) | $0 | $12.6M |
| Access Community Health Network | IL | Federally Qualified Health Center (FQHC) | $0 | $5.4M |
| Cook County | IL | Primary Care Clinic/Center | $0 | $5.4M |
| Carolina Therapeutic Services, Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $3.7M |
| Carlos Smith | IL | Podiatrist | $214.1K | $9.2K |
| Johnny Alexander | IL | Diagnostic Radiology Physician | $67.5K | $0 |
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