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    OpenPayerNPI Medicare & MedicaidMatthew Simmons
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    Matthew Simmons — Billing Profile & Reimbursement Data

    NPI 1952620429 · Holly Springs, GA · Sports Medicine (Family Medicine) Physician

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    Matthew Simmons is a sports medicine (family medicine) physician provider located in Holly Springs, Georgia. This profile covers 19 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
    OrganizationMatthew Simmons
    Address684 Sixes Rd
    CityHolly Springs
    StateGA
    ZIP30115
    TaxonomySports Medicine (Family Medicine) Physician
    NPI EnumeratedMay 24, 2010

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

    Payer SourceTotal Paid
    Medicare$130.1K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose290$100$28.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…390$60$22.5K
    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…200$100$18.8K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg990$10$12.9K
    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…160$80$12.9K
    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…170$70$11.5K
    64624The provider uses a chemical, heat, or radiofrequency as a neurolytic agent to destroy branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so it…20$310$5.6K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.100$30$3.2K
    64454The provider injects an anesthetic agent and/or a steroid into branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so should not be reported…20$180$3.1K
    99204The provider sees a new 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 provider…20$120$2.5K

    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
    J330438401,570$10$29.5K
    992144,79913,640120$80$17.8K
    J732368080$100$12.1K
    992133,92713,36080$60$9.2K
    64624182020$360$8.7K
    2061113719050$70$6.1K
    20610901,32060$50$5.8K
    992044,9587,26030$110$5.1K
    992031865,35030$70$3.3K
    64454233020$110$2.6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph RicottaFLVascular Surgery Physician$4M$0
    North Atlanta Professional Services LLCGAPsychologist$0$851.7K
    Charles DecookGAOrthopaedic Surgery Physician$759.9K$0
    Alla GoldbergGAOphthalmology Physician$583.9K$0
    Brian SengGAOrthopaedic Surgery Physician$393.8K$0
    Jimmy JiangGAOrthopaedic Hand Surgery Physician$318.4K$0
    Heather WeissmanGAOphthalmology Physician$218K$0
    Steven SpitzGANeurological Surgery Physician$216.8K$0
    Chris MaloneGAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$182.6K$0
    Michal HubkaGAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$177.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cherokee County Board Of CommissionersGALand Ambulance$1.8M$61.8K
    Carl CapeloutoGAUrology Physician$251.2K$0
    Neal PatelGAGastroenterology Physician$250.9K$0
    Ramal WeragodaGAClinical Cardiac Electrophysiology Physician$223.5K$0
    Anjan DekaGAInterventional Cardiology Physician$223.4K$0
    Shengchuan DaiGACardiovascular Disease Physician$215.6K$0
    Aashish DesaiGAInterventional Cardiology Physician$211.2K$0
    Douglas WidenerGAOrthopaedic Surgery Physician$192.7K$0
    Stephen SkjeiGAEndocrinology, Diabetes & Metabolism Physician$170.3K$0
    Anuj DuaGASurgery Physician$154.6K$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. Georgia Distribution
    Matthew Simmons — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia