Active NPI 1922045905 Individual Practitioner Male Practitioner

Dr. John Franklin Simmons , MD

General Practice • Geneva, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Simmons, MD is a certified General Practice practicing in Geneva, AL. With approximately 44 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 1982, Dr. Simmons delivers high-quality medical care to the local community at 915 W HOSPITAL DR.

Dr. Simmons is affiliated with John F. Simmons M.D. P.C and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, denosumab, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 W Hospital Dr

Geneva, AL 36340

Telephone 3346843644

Fax 3346846472

Associated Practice Facility / Clinic

🏢 John F. Simmons M.d. P.c Facility NPI 1053425595

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Geneva, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs Matches City Avg

City Avg: 44.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Geneva, AL (157 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (44 Years) 44 Yrs

Geneva Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	2,160	40	$1.00	$0.13
J0897 Injection, denosumab, 1 mg	1,920	22	$29.38	$23.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,054	221	$170.03	$114.50
36415 Insertion of needle into vein for collection of blood sample	551	222	$15.00	$8.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	238	85	$40.00	$12.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	212	117	$225.00	$161.72
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	209	63	$40.00	$23.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$175.00	$117.88
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	178	144	$20.06	$7.49
99497 Advance care planning, first 30 minutes	177	177	$125.00	$75.25
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	176	143	$20.06	$5.32
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	170	97	$25.00	$15.12
G0442 Annual alcohol misuse screening, 5 to 15 minutes	149	149	$20.00	$16.86
G0444 Annual depression screening, 5 to 15 minutes	147	147	$20.00	$16.87
G0008 Administration of influenza virus vaccine	133	131	$31.13	$29.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	133	40	$125.00	$72.39
90673 Influenza vaccine, trivalent derived from recombinant dna	123	123	$87.60	$79.49
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	119	31	$150.00	$98.68
81000 Manual urinalysis test with examination using microscope, non-automated	99	57	$15.00	$3.90
71046 X-ray of chest, 2 views	97	40	$50.00	$14.93
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	63	54	$75.00	$39.42
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	57	57	$40.00	$23.21
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	53	21	$225.00	$140.87
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	50	19	$30.00	$12.82
77080 Dxa bone density measurement of hip, pelvis, spine	50	50	$125.00	$33.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	17	$150.00	$108.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	13	$15.00	$1.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	30	$300.00	$159.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	37	20	$125.00	$68.11
20610 Aspiration and/or injection of fluid from large joint	35	21	$125.00	$57.26
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 of reports of patient status required by physicians and	35	32	$75.00	$48.34
99239 Hospital discharge day management, more than 30 minutes	34	28	$175.00	$104.65
G0179 Physician 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 review of reports of patient status required by physicians to affirm the initial imp	33	24	$50.00	$37.47
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$124.69	$82.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	24	$30.00	$15.24
J1040 Injection, methylprednisolone acetate, 80 mg	26	24	$25.00	$9.73
99238 Hospital discharge day management, 30 minutes or less	20	20	$125.00	$73.86
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	19	18	$15.00	$4.18
17000 Destruction of skin growth	15	11	$75.00	$60.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$200.00	$119.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,441	18	$25.00	$20.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,123	261	$170.00	$116.27
36415 Insertion of needle into vein for collection of blood sample	597	254	$15.00	$8.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	245	104	$40.00	$12.66
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	226	187	$20.00	$7.70
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	223	185	$20.00	$5.54
99497 Advance care planning, first 30 minutes	196	196	$125.00	$77.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	194	194	$175.00	$118.87
G0442 Annual alcohol misuse screening, 5 to 15 minutes	179	179	$20.00	$16.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	173	49	$125.00	$74.47
G0444 Annual depression screening, 5 to 15 minutes	173	173	$20.00	$16.72
G0008 Administration of influenza virus vaccine	157	153	$30.00	$28.50
99213 Established patient office or other outpatient visit, typically 15 minutes	156	109	$120.00	$83.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	148	33	$150.00	$99.68
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	139	63	$40.00	$23.81
90662 Influenza vaccine split virus, preservative free	125	125	$75.00	$70.20
81000 Manual urinalysis test with examination using microscope, non-automated	115	56	$15.00	$3.91
71046 X-ray of chest, 2 views	98	40	$50.00	$14.91
J1040 Injection, methylprednisolone acetate, 80 mg	90	71	$25.00	$11.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	90	61	$225.00	$162.42
77080 Dxa bone density measurement of hip, pelvis, spine	80	80	$125.00	$33.12
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	78	78	$40.00	$24.10
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	75	20	$15.00	$1.58
J0696 Injection, ceftriaxone sodium, per 250 mg	70	19	$12.50	$0.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	51	$298.51	$159.90
20610 Aspiration and/or injection of fluid from large joint	66	35	$125.00	$54.82
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 of reports of patient status required by physicians and	66	56	$75.00	$47.95
J1885 Injection, ketorolac tromethamine, per 15 mg	64	15	$5.00	$0.58
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	63	26	$223.81	$143.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	29	$150.00	$112.05
G0179 Physician 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 review of reports of patient status required by physicians to affirm the initial imp	56	37	$50.00	$37.68
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	56	26	$30.00	$12.98
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	52	48	$75.00	$39.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	41	22	$125.00	$69.68
99239 Hospital discharge day management, more than 30 minutes	36	30	$175.00	$105.95
99238 Hospital discharge day management, 30 minutes or less	31	29	$126.61	$73.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$35.00	$20.95
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	22	21	$15.00	$4.18
87804 Detection test by immunoassay with direct visual observation for influenza virus	18	18	$30.00	$16.22
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	14	14	$20.00	$12.26
90682 Influenza vaccine, quadrivalent derived from recombinant dna	13	13	$75.00	$68.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$200.00	$122.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,071	290	$170.07	$120.16
36415 Insertion of needle into vein for collection of blood sample	622	290	$15.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	421	180	$120.00	$85.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	282	108	$40.00	$13.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	263	211	$20.00	$7.98
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	259	209	$20.00	$5.49
99497 Advance care planning, first 30 minutes	219	219	$125.00	$80.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	215	215	$175.00	$123.81
G0442 Annual alcohol misuse screening, 5 to 15 minutes	195	195	$20.00	$17.40
G0008 Administration of influenza virus vaccine	176	175	$29.77	$27.01
90682 Influenza vaccine, quadrivalent derived from recombinant dna	175	174	$75.00	$67.17
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	170	54	$20.00	$7.99
71046 X-ray of chest, 2 views	142	55	$50.00	$15.43
J0696 Injection, ceftriaxone sodium, per 250 mg	141	34	$12.50	$0.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	138	40	$125.00	$68.24
G0444 Annual depression screening, 5 to 15 minutes	130	130	$20.00	$17.08
J1040 Injection, methylprednisolone acetate, 80 mg	128	88	$25.00	$10.56
81000 Manual urinalysis test with examination using microscope, non-automated	126	68	$15.00	$3.94
94060 Test to measure expiratory airflow and volume changes before and after medication administration	116	59	$125.00	$18.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	36	$150.00	$98.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	88	31	$150.00	$85.76
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	86	74	$75.00	$40.88
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	86	20	$15.00	$1.71
20610 Aspiration and/or injection of fluid from large joint	80	37	$125.00	$56.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	57	$225.00	$170.36
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 of reports of patient status required by physicians and	77	66	$75.00	$49.79
G0179 Physician 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 review of reports of patient status required by physicians to affirm the initial imp	71	41	$50.00	$38.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	48	$300.00	$186.55
77080 Dxa bone density measurement of hip, pelvis, spine	57	57	$125.00	$34.14
J1885 Injection, ketorolac tromethamine, per 15 mg	56	12	$5.00	$0.60
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	56	30	$30.00	$14.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	56	19	$125.00	$65.01
99239 Hospital discharge day management, more than 30 minutes	48	36	$175.00	$99.96
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	38	26	$225.00	$126.77
99225 Subsequent observation care, typically 25 minutes per day	38	21	$125.92	$67.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	29	$30.00	$15.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	19	$100.00	$53.35
99217 Hospital observation care on day of discharge	26	25	$125.00	$67.92
73030 X-ray of shoulder, minimum of 2 views	25	12	$50.00	$15.40
99306 Initial nursing facility visit, typically 45 minutes per day	25	22	$250.00	$157.04
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	24	24	$20.00	$15.76
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$150.00	$90.76
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	21	20	$15.00	$4.22
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	21	11	$175.00	$103.69
74018 X-ray of abdomen, 1 view	21	11	$50.00	$14.66
99220 Hospital observation care, typically 70 minutes	17	16	$275.00	$170.88
99238 Hospital discharge day management, 30 minutes or less	16	14	$125.00	$64.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$160.10
G0009 Administration of pneumococcal vaccine	14	14	$29.64	$26.89
93880 Ultrasound of both sides of head and neck blood flow	11	11	$275.00	$128.20
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	11	11	$1000.00	$340.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,239	318	$170.00	$124.00
J0897 Injection, denosumab, 1 mg	1,201	15	$24.75	$20.47
36415 Insertion of needle into vein for collection of blood sample	762	329	$15.00	$2.99
99213 Established patient office or other outpatient visit, typically 15 minutes	599	233	$120.00	$88.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	332	126	$40.00	$13.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	317	262	$20.00	$8.21
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	311	259	$20.13	$5.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	273	95	$20.37	$8.20
99497 Advance care planning, first 30 minutes	267	267	$125.00	$83.65
71046 X-ray of chest, 2 views	259	79	$50.00	$15.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	252	252	$175.20	$128.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	231	60	$150.00	$101.11
G0442 Annual alcohol misuse screening, 5 to 15 minutes	230	230	$20.00	$17.76
G0008 Administration of influenza virus vaccine	210	207	$25.05	$15.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	208	63	$125.00	$70.37
90682 Influenza vaccine, quadrivalent derived from recombinant dna	207	204	$75.00	$65.03
J0696 Injection, ceftriaxone sodium, per 250 mg	162	53	$12.50	$0.53
G0444 Annual depression screening, 5 to 15 minutes	158	158	$20.00	$17.76
81000 Manual urinalysis test with examination using microscope, non-automated	154	68	$15.00	$3.86
J1040 Injection, methylprednisolone acetate, 80 mg	142	90	$25.00	$10.56
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	139	53	$150.00	$87.35
94060 Test to measure expiratory airflow and volume changes before and after medication administration	131	66	$124.43	$21.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	81	$225.00	$171.28
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 of reports of patient status required by physicians and	97	87	$75.00	$50.79
20610 Aspiration and/or injection of fluid from large joint	93	50	$125.00	$58.29
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	91	81	$75.00	$40.47
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	87	24	$15.00	$1.99
77080 Dxa bone density measurement of hip, pelvis, spine	85	85	$125.00	$35.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	73	$300.00	$194.28
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	79	79	$20.00	$15.92
85610 Blood test, clotting time	76	11	$25.00	$4.29
G0179 Physician 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 review of reports of patient status required by physicians to affirm the initial imp	74	38	$50.00	$39.23
99239 Hospital discharge day management, more than 30 minutes	73	63	$175.00	$103.52
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	70	32	$225.00	$129.39
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	65	37	$30.00	$15.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	34	$125.40	$66.83
J1885 Injection, ketorolac tromethamine, per 15 mg	43	12	$5.00	$0.49
99306 Initial nursing facility visit, typically 45 minutes per day	39	36	$250.00	$162.15
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	38	34	$15.00	$4.27
99225 Subsequent observation care, typically 25 minutes per day	36	21	$125.00	$70.34
99217 Hospital observation care on day of discharge	35	29	$125.00	$68.96
99220 Hospital observation care, typically 70 minutes	33	27	$275.76	$173.23
J1030 Injection, methylprednisolone acetate, 40 mg	33	29	$23.48	$5.58
74018 X-ray of abdomen, 1 view	30	13	$50.00	$13.06
73560 X-ray of knee, 1-2 views	30	13	$50.00	$15.98
82270 Stool analysis for blood to screen for colon tumors	28	28	$10.00	$4.38
73030 X-ray of shoulder, minimum of 2 views	28	12	$50.00	$16.06
99318 Nursing facility annual assessment, typically 30 minutes	27	27	$150.00	$92.47
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	27	27	$100.00	$42.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$162.81
G0009 Administration of pneumococcal vaccine	20	20	$25.00	$15.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$100.00	$54.06
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	17	17	$350.00	$123.35
90670 Pneumococcal vaccine for injection into muscle	16	16	$250.00	$237.87
93880 Ultrasound of both sides of head and neck blood flow	15	15	$275.00	$148.26
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	14	13	$60.00	$35.33
99285 Emergency department visit for life threatening or functioning severity	13	13	$2066.00	$178.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	7,056	11	$5.00	$2.16
J0897 Injection, denosumab, 1 mg	2,580	29	$20.35	$19.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,245	362	$170.00	$101.63
36415 Insertion of needle into vein for collection of blood sample	738	356	$15.00	$2.95
99213 Established patient office or other outpatient visit, typically 15 minutes	576	248	$120.36	$70.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	349	142	$40.00	$13.24
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	309	257	$20.00	$8.29
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	304	253	$20.00	$7.61
99497 Advance care planning, first 30 minutes	286	286	$125.00	$82.22
G0008 Administration of influenza virus vaccine	272	266	$25.06	$15.59
90682 Influenza vaccine, quadrivalent derived from recombinant dna	246	243	$75.00	$59.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	244	244	$175.00	$108.93
G0442 Annual alcohol misuse screening, 5 to 15 minutes	243	243	$20.00	$16.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	218	86	$20.47	$8.19
71046 X-ray of chest, 2 views	217	74	$50.00	$14.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	197	57	$125.00	$70.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	175	54	$150.00	$84.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	171	50	$150.00	$100.86
J1030 Injection, methylprednisolone acetate, 40 mg	166	108	$20.00	$5.91
81000 Manual urinalysis test with examination using microscope, non-automated	161	83	$15.00	$3.90
94060 Test to measure expiratory airflow and volume changes before and after medication administration	154	78	$125.00	$27.13
G0444 Annual depression screening, 5 to 15 minutes	146	146	$21.03	$17.00
20610 Aspiration and/or injection of fluid from large joint	132	63	$125.00	$53.26
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	120	49	$225.00	$126.34
J1885 Injection, ketorolac tromethamine, per 15 mg	113	26	$5.00	$0.57
J0696 Injection, ceftriaxone sodium, per 250 mg	102	42	$12.50	$0.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	75	$225.75	$137.46
85610 Blood test, clotting time	89	13	$25.00	$4.25
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 of reports of patient status required by physicians and	86	74	$75.00	$50.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	69	$300.00	$195.90
G0179 Physician 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 review of reports of patient status required by physicians to affirm the initial imp	82	48	$50.00	$38.33
99239 Hospital discharge day management, more than 30 minutes	70	59	$174.64	$103.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	70	18	$15.00	$1.99
82270 Stool analysis for blood to screen for colon tumors	66	66	$10.00	$4.36
77080 Dxa bone density measurement of hip, pelvis, spine	59	58	$125.00	$36.14
73560 X-ray of knee, 1-2 views	51	21	$50.00	$14.97
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	48	33	$30.00	$14.49
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	47	42	$15.00	$4.16
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	45	24	$125.00	$66.55
99225 Subsequent observation care, typically 25 minutes per day	43	19	$125.00	$68.10
J1040 Injection, methylprednisolone acetate, 80 mg	42	38	$25.00	$11.42
99220 Hospital observation care, typically 70 minutes	40	38	$275.63	$174.93
99217 Hospital observation care on day of discharge	39	37	$125.00	$68.57
99306 Initial nursing facility visit, typically 45 minutes per day	39	35	$250.00	$161.12
99318 Nursing facility annual assessment, typically 30 minutes	38	38	$150.00	$90.76
72100 X-ray of lower and sacral spine, 2-3 views	36	18	$75.00	$17.46
G0009 Administration of pneumococcal vaccine	36	36	$25.00	$15.54
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	28	$30.00	$18.15
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	29	28	$60.00	$45.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	23	$100.00	$42.40
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$230.00	$161.65
87804 Detection test by immunoassay with direct visual observation for influenza virus	23	21	$30.00	$16.29
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	21	11	$175.00	$114.67
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	21	21	$350.00	$114.89
99285 Emergency department visit for life threatening or functioning severity	21	21	$2066.00	$163.11
17000 Destruction of skin growth	20	14	$75.00	$58.18
90670 Pneumococcal vaccine for injection into muscle	19	19	$238.16	$222.84
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$125.00	$119.45
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	15	$20.00	$16.39
93880 Ultrasound of both sides of head and neck blood flow	15	15	$275.00	$144.11
93922 Ultrasound study of arm and leg arteries	15	15	$150.00	$60.89
93925 Ultrasound of leg arteries or artery grafts	15	15	$350.00	$180.16
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	14	14	$300.00	$134.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$156.66
99496 Transitional care management services for problem of high complexity	13	13	$311.54	$223.70
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	13	13	$20.00	$15.77
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	12	12	$50.00	$14.49
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	12	12	$1000.00	$356.12
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	12	12	$75.00	$21.70
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	12	12	$75.00	$22.63
99354 Prolonged office or other outpatient service first hour	11	11	$175.00	$125.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	6,400	11	$0.10	$0.03
J0897 Injection, denosumab, 1 mg	4,202	44	$20.28	$18.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,479	395	$170.00	$100.79
36415 Insertion of needle into vein for collection of blood sample	882	390	$15.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	791	296	$120.00	$69.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	477	138	$20.00	$8.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	467	181	$40.00	$15.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	409	332	$20.10	$8.15
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	402	328	$20.10	$7.47
99497 Advance care planning, first 30 minutes	340	340	$125.00	$80.41
71046 X-ray of chest, 2 views	338	113	$50.00	$14.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	303	303	$175.00	$108.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	262	79	$125.00	$69.01
J1030 Injection, methylprednisolone acetate, 40 mg	256	155	$20.00	$6.26
G0008 Administration of influenza virus vaccine	252	251	$25.06	$15.30
81000 Manual urinalysis test with examination using microscope, non-automated	227	119	$15.00	$3.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	207	60	$149.88	$98.72
85610 Blood test, clotting time	204	20	$25.00	$4.24
94060 Test to measure expiratory airflow and volume changes before and after medication administration	203	100	$124.58	$26.90
J0696 Injection, ceftriaxone sodium, per 250 mg	180	45	$12.50	$0.58
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	163	46	$150.00	$83.36
90682 Influenza vaccine, quadrivalent derived from recombinant dna	162	161	$75.00	$54.50
77080 Dxa bone density measurement of hip, pelvis, spine	145	145	$125.00	$35.46
82270 Stool analysis for blood to screen for colon tumors	128	128	$10.00	$4.26
J1885 Injection, ketorolac tromethamine, per 15 mg	119	30	$5.00	$0.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	86	$300.00	$191.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	113	77	$225.00	$134.19
99239 Hospital discharge day management, more than 30 minutes	113	87	$174.78	$101.47
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	99	24	$15.00	$1.80
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 of reports of patient status required by physicians and	99	90	$75.00	$49.46
G0179 Physician 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 review of reports of patient status required by physicians to affirm the initial imp	98	60	$50.00	$38.12
90662 Influenza vaccine split virus, preservative free	96	96	$73.75	$54.13
20610 Aspiration and/or injection of fluid from large joint	95	58	$125.00	$50.64
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	85	33	$225.00	$124.82
73560 X-ray of knee, 1-2 views	52	21	$50.00	$14.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	52	24	$125.00	$65.04
74018 X-ray of abdomen, 1 view	49	22	$50.00	$13.16
99306 Initial nursing facility visit, typically 45 minutes per day	46	37	$250.00	$158.35
99217 Hospital observation care on day of discharge	46	40	$125.00	$67.54
99220 Hospital observation care, typically 70 minutes	43	39	$275.00	$169.69
93880 Ultrasound of both sides of head and neck blood flow	41	38	$275.00	$144.30
90670 Pneumococcal vaccine for injection into muscle	34	34	$244.85	$190.63
99225 Subsequent observation care, typically 25 minutes per day	34	21	$125.00	$68.44
G0009 Administration of pneumococcal vaccine	33	32	$25.00	$15.30
72100 X-ray of lower and sacral spine, 2-3 views	33	16	$75.00	$17.12
99284 Emergency department visit with moderate level of medical decision making	33	32	$1388.00	$110.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$240.00	$160.19
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	31	16	$175.00	$114.37
99496 Transitional care management services for problem of high complexity	31	29	$325.00	$215.78
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	30	30	$20.00	$16.74
99285 Emergency department visit for life threatening or functioning severity	30	28	$2066.00	$164.81
73620 X-ray of foot, 2 views	30	12	$50.00	$12.22
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	29	29	$350.00	$117.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$100.00	$41.61
99318 Nursing facility annual assessment, typically 30 minutes	27	27	$150.00	$91.23
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	24	23	$15.00	$4.18
94640 Inhalation treatment for airway obstruction or sputum production	23	22	$35.00	$16.05
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	21	$30.00	$16.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$250.00	$153.83
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	20	$20.00	$15.39
99283 Emergency department visit with low level of medical decision making	19	19	$932.00	$58.97
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	16	16	$75.00	$22.72
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$30.00	$15.29
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	16	16	$1000.00	$359.26
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	16	16	$50.00	$14.35
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	16	16	$75.00	$21.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$227.00	$155.58
93922 Ultrasound study of arm and leg arteries	15	15	$150.00	$65.79
93925 Ultrasound of leg arteries or artery grafts	14	14	$350.00	$193.88
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$125.00	$102.12
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	13	13	$300.00	$133.54
92250 Photography of the retina	12	12	$100.00	$46.61
G0444 Annual depression screening, 5 to 15 minutes	12	12	$45.00	$16.68
99354 Prolonged office or other outpatient service first hour	12	12	$170.83	$123.19
99238 Hospital discharge day management, 30 minutes or less	12	12	$125.00	$69.04
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$300.00	$143.62
93042 Interpretation and report of electrical activity of heart using 1-3 leads	11	11	$69.00	$6.61
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$60.00	$8.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,722	46	$20.00	$17.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,414	397	$169.60	$96.47
99213 Established patient office or other outpatient visit, typically 15 minutes	884	310	$119.73	$65.69
36415 Insertion of needle into vein for collection of blood sample	846	378	$15.00	$2.91
71046 X-ray of chest, 2 views	437	133	$50.50	$13.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	384	131	$21.20	$7.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	378	309	$20.00	$7.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	374	154	$39.92	$18.06
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	373	303	$20.21	$7.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	294	294	$174.66	$104.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	265	91	$124.62	$66.72
J0696 Injection, ceftriaxone sodium, per 250 mg	261	53	$12.50	$0.61
G0008 Administration of influenza virus vaccine	260	255	$25.29	$18.73
81000 Manual urinalysis test with examination using microscope, non-automated	259	117	$15.00	$3.94
90662 Influenza vaccine split virus, preservative free	240	235	$60.00	$51.02
85610 Blood test, clotting time	234	26	$24.92	$4.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	230	80	$150.00	$95.63
99497 Advance care planning, first 30 minutes	218	217	$125.00	$76.83
94060 Test to measure expiratory airflow and volume changes before and after medication administration	210	104	$124.29	$26.08
J1030 Injection, methylprednisolone acetate, 40 mg	203	136	$20.00	$6.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	147	55	$150.00	$83.57
77080 Dxa bone density measurement of hip, pelvis, spine	128	128	$125.00	$36.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	115	100	$289.04	$184.02
99239 Hospital discharge day management, more than 30 minutes	108	91	$174.54	$98.56
20610 Aspiration and/or injection of fluid from large joint	100	52	$125.25	$49.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	99	24	$15.00	$1.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	79	$222.27	$129.94
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	96	45	$225.00	$124.41
J1885 Injection, ketorolac tromethamine, per 15 mg	95	21	$5.53	$0.52
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 of reports of patient status required by physicians and	93	78	$75.00	$48.31
82270 Stool analysis for blood to screen for colon tumors	89	89	$10.00	$4.19
G0179 Physician 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 review of reports of patient status required by physicians to affirm the initial imp	86	44	$50.00	$37.38
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	76	76	$21.05	$18.49
99306 Initial nursing facility visit, typically 45 minutes per day	65	59	$249.23	$153.23
G0009 Administration of pneumococcal vaccine	61	61	$25.00	$18.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	57	25	$125.00	$63.25
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	57	44	$125.00	$69.51
99284 Emergency department visit with moderate level of medical decision making	50	50	$1388.00	$107.90
99285 Emergency department visit for life threatening or functioning severity	50	50	$2066.00	$158.93
74018 X-ray of abdomen, 1 view	49	22	$50.00	$11.73
73030 X-ray of shoulder, minimum of 2 views	43	18	$50.00	$13.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	35	$100.00	$39.21
73502 X-ray of hip, 2-3 views	39	19	$75.00	$18.67
73560 X-ray of knee, 1-2 views	39	16	$50.00	$13.98
72100 X-ray of lower and sacral spine, 2-3 views	36	18	$56.94	$15.45
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	32	32	$350.00	$114.18
90670 Pneumococcal vaccine for injection into muscle	31	31	$250.00	$197.07
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	31	31	$303.23	$128.44
93880 Ultrasound of both sides of head and neck blood flow	29	28	$273.28	$134.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$125.00	$105.59
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	28	27	$15.00	$4.29
99283 Emergency department visit with low level of medical decision making	27	26	$932.00	$56.80
99318 Nursing facility annual assessment, typically 30 minutes	27	27	$150.00	$88.95
87804 Detection test by immunoassay with direct visual observation for influenza virus	27	26	$30.00	$16.22
93922 Ultrasound study of arm and leg arteries	26	26	$150.00	$63.32
99217 Hospital observation care on day of discharge	25	21	$125.00	$66.92
94640 Inhalation treatment for airway obstruction or sputum production	25	23	$35.00	$16.12
93925 Ultrasound of leg arteries or artery grafts	25	25	$350.00	$185.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$240.00	$142.28
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	24	24	$29.58	$17.87
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	23	12	$175.00	$100.86
92250 Photography of the retina	21	21	$104.76	$50.99
70220 X-ray of paranasal sinus, minimum of 3 views	21	11	$75.00	$15.76
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$20.00	$16.20
99220 Hospital observation care, typically 70 minutes	19	18	$275.00	$171.20
69210 Removal of impacted ear wax	18	18	$75.00	$43.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$250.00	$148.88
99496 Transitional care management services for problem of high complexity	17	16	$325.00	$209.71
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	16	16	$1000.00	$337.79
93042 Interpretation and report of electrical activity of heart using 1-3 leads	16	16	$69.00	$6.54
99238 Hospital discharge day management, 30 minutes or less	16	16	$125.00	$66.80
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	15	15	$71.67	$20.65
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	15	15	$75.00	$24.61
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	15	15	$50.00	$13.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$200.00	$125.35
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	15	$30.00	$12.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$75.00	$35.95
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$300.00	$130.83
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$220.83	$150.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,600	52	$20.00	$16.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,393	426	$150.01	$93.18
99213 Established patient office or other outpatient visit, typically 15 minutes	1,062	378	$100.11	$63.17
36415 Insertion of needle into vein for collection of blood sample	790	392	$15.00	$2.94
71020 X-ray of chest, 2 views, front and side	554	164	$79.53	$11.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	537	158	$21.00	$7.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	450	361	$20.00	$7.59
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	440	351	$40.00	$6.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	412	112	$100.00	$63.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	398	156	$35.00	$21.69
85610 Blood test, clotting time	337	34	$25.00	$5.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	300	300	$150.00	$99.83
G0008 Administration of influenza virus vaccine	258	254	$25.00	$23.04
99497 Advance care planning, first 30 minutes	248	248	$125.00	$72.14
J0696 Injection, ceftriaxone sodium, per 250 mg	245	52	$12.50	$0.65
81000 Manual urinalysis test with examination using microscope, non-automated	238	119	$15.00	$4.26
94060 Test to measure expiratory airflow and volume changes before and after medication administration	231	112	$100.00	$25.66
90662 Influenza vaccine split virus, preservative free	226	226	$60.00	$47.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	218	81	$150.00	$92.37
J1030 Injection, methylprednisolone acetate, 40 mg	205	135	$20.00	$5.68
77080 Dxa bone density measurement of hip, pelvis, spine	189	189	$125.00	$34.26
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	186	78	$30.00	$12.59
J1885 Injection, ketorolac tromethamine, per 15 mg	185	36	$5.00	$0.63
82270 Stool analysis for blood to screen for colon tumors	152	152	$10.00	$4.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	147	109	$265.65	$179.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	147	49	$150.00	$80.58
99239 Hospital discharge day management, more than 30 minutes	141	105	$150.00	$94.87
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 of reports of patient status required by physicians and	132	107	$75.00	$46.53
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie	116	29	$175.00	$98.40
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	101	20	$15.00	$3.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	93	78	$180.00	$125.23
G0179 Physician 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 review of reports of patient status required by physicians to affirm the initial imp	84	47	$50.00	$35.66
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	84	38	$125.00	$60.90
20610 Aspiration and/or injection of fluid from large joint	79	39	$150.00	$48.55
J2785 Injection, regadenoson, 0.1 mg	72	18	$100.00	$54.44
99285 Emergency department visit for life threatening or functioning severity	71	69	$2020.45	$159.88
99283 Emergency department visit with low level of medical decision making	66	61	$910.00	$56.53
99284 Emergency department visit with moderate level of medical decision making	65	63	$1368.71	$107.05
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	60	52	$125.00	$61.86
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	60	59	$275.00	$137.19
G0009 Administration of pneumococcal vaccine	59	59	$25.00	$23.04
73560 X-ray of knee, 1-2 views	58	22	$80.00	$13.46
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	57	30	$175.00	$120.19
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	55	42	$175.00	$112.03
93880 Ultrasound of both sides of head and neck blood flow	51	50	$275.00	$134.43
99496 Transitional care management services for problem of high complexity	48	44	$276.04	$200.45
72100 X-ray of lower and sacral spine, 2-3 views	46	22	$100.00	$14.89
94640 Inhalation treatment for airway obstruction or sputum production	44	35	$35.00	$15.20
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	44	44	$30.00	$21.38
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$200.00	$142.99
90670 Pneumococcal vaccine for injection into muscle	43	43	$250.00	$186.41
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	43	43	$1000.00	$330.71
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	42	42	$100.00	$13.32
99306 Initial nursing facility visit, typically 45 minutes per day	42	37	$225.00	$147.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	30	$60.00	$37.21
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	42	42	$350.00	$126.17
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	42	42	$100.00	$30.32
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	42	42	$100.00	$19.93
74000 X-ray of abdomen, single view	41	18	$80.00	$10.35
73502 X-ray of hip, 2-3 views	36	16	$71.67	$17.49
99217 Hospital observation care on day of discharge	36	30	$100.00	$64.17
92250 Photography of the retina	35	34	$100.00	$55.99
99318 Nursing facility annual assessment, typically 30 minutes	32	32	$150.00	$86.01
73620 X-ray of foot, 2 views	32	12	$80.00	$10.94
73030 X-ray of shoulder, minimum of 2 views	32	16	$80.00	$12.32
87804 Detection test by immunoassay with direct visual observation for influenza virus	31	30	$30.00	$14.63
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	31	31	$30.00	$17.48
99220 Hospital observation care, typically 70 minutes	29	27	$250.00	$159.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	25	$200.00	$121.08
93925 Ultrasound of leg arteries or artery grafts	27	26	$350.00	$182.16
93922 Ultrasound study of arm and leg arteries	26	25	$175.00	$61.69
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	26	25	$15.00	$4.77
71100 X-ray of ribs of one side of body, 2 views	24	11	$80.00	$14.00
99238 Hospital discharge day management, 30 minutes or less	19	19	$100.00	$63.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$75.00	$34.72
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$136.76	$96.87
99291 Critical care, first 30-74 minutes	16	12	$468.38	$198.18
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$20.00	$14.63
99225 Subsequent observation care, typically 25 minutes per day	15	13	$100.00	$64.57
71010 X-ray of chest, 1 view, front	15	14	$50.20	$8.51
69210 Removal of impacted ear wax	15	15	$60.00	$42.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$219.64	$142.97
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	12	$176.92	$115.36
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$275.00	$134.43
99316 Nursing facility discharge management, more than 30 minutes	11	11	$150.00	$93.30

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AL 10418

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000016076 (AL)

Medicaid State Provider ID

044194500 (FL)

Hospital & Practice Group Affiliations

John F. Simmons M.d. P.c

915 W Hospital Dr, Geneva, AL 363401645

Phone: 3346843644

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. John Simmons , MD

Family Medicine

NPI 1942452123

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2011

Registered at 915 W HOSPITAL DR, GENEVA, AL 36340 (Tel: 3346843644)

📍

Updated Business Mailing Address November 15, 2011

Registered at 915 W HOSPITAL DR, GENEVA, AL 363401645 (Tel: 3346843644)

👤

Provider Name / Credentials Updated November 15, 2011

Recorded as JOHN SIMMONS, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2011

General Practice (License #10418 in AL)

🟢

Initial NPI Registration & Enumeration May 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1922045905

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2006

Last Update: November 15, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

915 W Hospital Dr

Geneva, AL 363401645

Phone: 3346843644

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.