Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $409 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
488
Rank: 18th
out of 115 providers in this state & specialty
Services
Performed
5,770
Rank: 7th
out of 115 providers in this state & specialty
Avg Services
Per Patient
11.8 This Provider is in the top 10%
Avg 6.7
Total Paid
by Medicare
$209K
Rank: 16th
out of 115 providers in this state & specialty
Avg Paid
Per Patient
$429 This Provider
Avg $409

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 30 different services in 2015
(15 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
drug
DRUGS

Injection, darbepoetin alfa, 1 microgram (non-esrd use)

Service Code: J0881
Performed in an office
3,900
times performed,
68% of his services

1st 4th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$24,102.00an average of $6.18 per time performed $12,129.00
an average of $3.11 per time performed
medical
MEDICINE

Dialysis services (1 physician visit per month), patient ... +

Dialysis services (1 physician visit per month), patient 20 years of age and older ×

Service Code: 90962
Performed in an office
387
times performed,
7% of his services

2nd 24th

most performed service for this provider most performed service in this state & specialty

48
patients got this service, 10% of his patients
8.1
average number of visits a patient made for this service
(Peers: 2.6)
$129,912.03an average of $335.69 per time performed $54,640.53
an average of $141.19 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
351
times performed,
6% of his services

3rd 12th

most performed service for this provider most performed service in this state & specialty

215
patients got this service, 44% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$34,254.09an average of $97.59 per time performed $17,381.52
an average of $49.52 per time performed
medical
MEDICINE

Dialysis services (4 or more physician visits per month),... +

Dialysis services (4 or more physician visits per month), patient 20 years of age and older ×

Service Code: 90960
Performed in an office
330
times performed,
6% of his services

4th 3rd

most performed service for this provider most performed service in this state & specialty

43
patients got this service, 9% of his patients
7.7
average number of visits a patient made for this service
(Peers: 5.2)
$166,560.90an average of $504.73 per time performed $72,996.00
an average of $221.20 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
201
times performed,
3% of his services

5th 2nd

most performed service for this provider most performed service in this state & specialty

99
patients got this service, 20% of his patients
2
average number of visits a patient made for this service
(Peers: 2.2)
$21,245.70an average of $105.70 per time performed $11,195.70
an average of $55.70 per time performed
medical
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
126
times performed,
2% of his services

6th 8th

most performed service for this provider most performed service in this state & specialty

74
patients got this service, 15% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$20,471.22an average of $162.47 per time performed $7,180.74
an average of $56.99 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
92
times performed,
2% of his services

7th 6th

most performed service for this provider most performed service in this state & specialty

78
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$13,281.12an average of $144.36 per time performed $7,003.04
an average of $76.12 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
66
times performed,
1% of his services

8th 7th

most performed service for this provider most performed service in this state & specialty

38
patients got this service, 8% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$10,443.84an average of $158.24 per time performed $5,437.74
an average of $82.39 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
52
times performed,
0.9% of his services

9th 25th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 7% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$3,130.92an average of $60.21 per time performed $1,564.68
an average of $30.09 per time performed
medical
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in an office
47
times performed,
0.81% of his services

10th 10th

most performed service for this provider most performed service in this state & specialty

35
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.9)
$19,724.96an average of $419.68 per time performed $8,748.58
an average of $186.14 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
34
times performed,
0.59% of his services

11th 22nd

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,736.36an average of $227.54 per time performed $4,021.86
an average of $118.29 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
32
times performed,
0.55% of his services

12th 33rd

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 3% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.1)
$1,259.20an average of $39.35 per time performed $598.08
an average of $18.69 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
21
times performed,
0.36% of his services

13th 18th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$192.99an average of $9.19 per time performed $88.62
an average of $4.22 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
19
times performed,
0.33% of his services

14th 16th

most performed service for this provider most performed service in this state & specialty

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$114.00an average of $6.00 per time performed $64.79
an average of $3.41 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
13
times performed,
0.23% of his services

15th 13th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,672.76an average of $282.52 per time performed $2,089.62
an average of $160.74 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Richard Edward Simmons
Average for Nephrology Providers in Colorado

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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