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

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

Toni Simmons (NPI 1942224464)

Field	Value
Entity Type	Individual
Organization	Toni Simmons
Address	2045 Franklin St
City	Denver
State	CO
ZIP	80205
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicare	$34.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	50	$250	$11.4K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	30	$270	$7.6K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	30	$140	$3.8K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	20	$190	$3.2K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$130	$2.6K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	10	$170	$1.9K
01480	The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.	10	$130	$1.5K
00410	The provider performs anesthesia services for a patient undergoing a procedure on the skin of the upper and lower limbs, the front aspect of the chest and abdomen, or the perineum. For this code, the…	10	$100	$1.1K
64448	The provider places a catheter and administers one or more anesthetic agents and/or a steroid by continuous infusion into the area of the femoral nerve, which innervates the leg and foot.	20	$60	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Toni Simmons — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01402	7	230	20	$200	$3.6K
01214	5	80	10	$210	$3.4K
00811	232	440	20	$80	$2.6K
00813	126	140	20	$110	$2.4K
00731	121	550	20	$80	$2K
01922	18	60	10	$120	$1.9K
01480	29	60	10	$120	$1.7K
64448	8	30	20	$60	$1.4K
00410	8	10	10	$60	$740

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado Permanente Medical Group, P.C.	CO	Internal Medicine Physician	$0	$23.2M
James Link	CO	Hematology & Oncology Physician	$529.8K	$0
Harjot Bhandal	CA	Interventional Pain Medicine Physician	$506.4K	$0
Ruben Kalra	CA	Interventional Pain Medicine Physician	$492.3K	$0
Philip Shumsky	IN	Pain Medicine Physician	$335.1K	$0
Dustin Ridout	CO	Urology Physician	$191.2K	$0
Julia Losekamp	CO	Family Medicine Physician	$165.8K	$0
Jean Michel Grillon	CO	Diagnostic Radiology Physician	$163.3K	$0
Gary Lekander	CA	Pulmonary Disease Physician	$146.2K	$0
George Chaus	CO	Orthopaedic Trauma Physician	$139.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado Coalition For The Homeless	CO	Federally Qualified Health Center (FQHC)	$0	$41.6M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$28.2M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$11.1M
Comprehensive Behavioral Health Center LLC	CO	Substance Use Disorder Rehabilitation Clinic/Center	$134.5K	$8.1M
Inner City Health Center	CO	Federally Qualified Health Center (FQHC)	$0	$6.7M
Ronald Mcdonald House Charities Of Denver, Inc	CO	Non-emergency Medical Transport (VAN)	$0	$5.8M
Curtis Hagedorn	CO	Ophthalmology Physician	$1.5M	$0
Charles Wilson	CO	Ophthalmology Physician	$697.3K	$0
Professional Portable Radiologic Services, Inc.	CO	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$169.7K	$0
Powell Perng	CO	Dermatology Physician	$132K	$0

Toni 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