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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEveritt Simmons
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    Everitt Simmons — Billing Profile & Reimbursement Data

    NPI 1952333064 · Alabaster, AL · Emergency Medicine Physician

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    Everitt Simmons is a emergency medicine physician provider located in Alabaster, Alabama. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEveritt Simmons
    Address1000 1st St N
    CityAlabaster
    StateAL
    ZIP35007
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJuly 7, 2006

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

    Payer SourceTotal Paid
    Medicare$139.2K
    Medicaid$0

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…470$90$41.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…320$130$40.9K
    99213The 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…680$50$32.7K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…100$70$7.2K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…260$30$6.7K
    99214The 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…40$70$2.7K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$90$2.4K
    99203The 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…40$60$2K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…20$90$1.6K
    97598After debriding the initial 20 cm2 at the same encounter, the provider excises devitalized (dead) tissue from an open wound. He may use a variety of techniques that include sharp debridement with…50$20$950

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,6997,330120$80$16.8K
    992331151,86080$90$13.4K
    993104014050$100$8.9K
    99223402,14040$130$8.1K
    9930610212050$130$8K
    992131666,47080$50$7.9K
    9759767060$40$4.5K
    992228071,59030$90$4.2K
    992039512,21030$70$3.1K
    9759851090$20$2.6K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Karan BhallaTXCardiovascular Disease Physician$2.1M$0
    Junaid MemonALInternal Medicine Physician$307.3K$0
    John HardwellGAEmergency Medicine Physician$104.9K$0
    Steven RealALEmergency Medicine Physician$53.9K$0
    Stephen BowenALInternal Medicine Physician$44.6K$0
    Willie GilfordALEmergency Medicine Physician$39.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shelby Oral Facial Surgery PCALOral & Maxillofacial Surgery (D.M.D.)$0$4M
    Bbh Sbmc, LLCALGeneral Acute Care Hospital$0$3.5M
    Raj PatelALMOHS-Micrographic Surgery Physician$2.7M$0
    Lauri M. Williams, Dmd, PCALPediatric Dentistry$0$2.4M
    Cytopath PCALAnatomic Pathology & Clinical Pathology Physician$77.9K$1.4M
    Warrior Wellness GroupALProfessional Counselor$0$1M
    Alabaster Pediatrics LLCALPediatrics Physician$0$1M
    Nopporn UnnoppetALRheumatology Physician$559.5K$0
    David FienoALCardiovascular Disease Physician$559.2K$0
    Clifton VanceALCardiovascular Disease Physician$497.1K$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. Alabama Distribution
    Everitt Simmons — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama