Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

This Provider: At A Glance

We aren’t showing our typical comparisons because this provider had an address in a different state in 2015.

Number of
Patients
1,045
Services
Performed
6,241
Avg Services
Per Patient
6
Total Paid
by Medicare
$253K
Avg Paid
Per Patient
$242

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 104 different services in 2015
(75 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
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
1,468
times performed,
24% of his services

1st Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

195
patients got this service, 19% of his patients
2.4
average number of visits a patient made for this service
$216,295.12an average of $147.34 per time performed $79,477.52
an average of $54.14 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
1,233
times performed,
20% of his services

2nd Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

681
patients got this service, 65% of his patients
1.8
average number of visits a patient made for this service
$206,564.49an average of $167.53 per time performed $87,099.12
an average of $70.64 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
719
times performed,
12% of his services

3rd Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

78
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$14,380.00an average of $20.00 per time performed $64.71
an average of $0.09 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
380
times performed,
6% of his services

4th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

277
patients got this service, 27% of his patients
1.4
average number of visits a patient made for this service
$38,904.40an average of $102.38 per time performed $17,639.60
an average of $46.42 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
307
times performed,
5% of his services

5th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

268
patients got this service, 26% of his patients
1.1
average number of visits a patient made for this service
$4,605.00an average of $15.00 per time performed $1,028.45
an average of $3.35 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
281
times performed,
5% of his services

6th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

58
patients got this service, 6% of his patients
4.8
average number of visits a patient made for this service
$3,372.00an average of $12.00 per time performed $618.20
an average of $2.20 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
214
times performed,
3% of his services

7th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

47
patients got this service, 4% of his patients
4.6
average number of visits a patient made for this service
$7,918.00an average of $37.00 per time performed $3,486.06
an average of $16.29 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
180
times performed,
3% of his services

8th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

129
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
$5,040.00an average of $28.00 per time performed $842.40
an average of $4.68 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
152
times performed,
2% of his services

9th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

126
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
$15,060.16an average of $99.08 per time performed $1,641.60
an average of $10.80 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
124
times performed,
2% of his services

10th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

116
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
$45,604.72an average of $367.78 per time performed $18,225.52
an average of $146.98 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
124
times performed,
2% of his services

11th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

18
patients got this service, 2% of his patients
6.9
average number of visits a patient made for this service
$3,100.00an average of $25.00 per time performed $639.84
an average of $5.16 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
120
times performed,
2% of his services

12th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

117
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
$17,720.40an average of $147.67 per time performed $6,438.00
an average of $53.65 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
111
times performed,
2% of his services

13th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

29
patients got this service, 3% of his patients
3.8
average number of visits a patient made for this service
$4,577.64an average of $41.24 per time performed $1,317.57
an average of $11.87 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle, patient ... +

Vaccine for influenza for injection into muscle, patient 3 years and older ×

Service Code: 90656
Performed in an office
70
times performed,
1% of his services

14th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

70
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$2,100.00an average of $30.00 per time performed $938.70
an average of $13.41 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
61
times performed,
0.98% of his services

15th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

61
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$5,795.00an average of $95.00 per time performed $687.47
an average of $11.27 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
54
times performed,
0.87% of his services

16th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

30
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
$3,689.82an average of $68.33 per time performed $1,692.36
an average of $31.34 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
49
times performed,
0.79% of his services

17th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

49
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$1,225.00an average of $25.00 per time performed $1,104.46
an average of $22.54 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
49
times performed,
0.79% of his services

18th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

23
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
$6,468.98an average of $132.02 per time performed $1,738.52
an average of $35.48 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
47
times performed,
0.75% of his services

19th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

47
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$12,034.82an average of $256.06 per time performed $1,717.85
an average of $36.55 per time performed
medical
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
42
times performed,
0.67% of his services

20th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

42
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$11,271.96an average of $268.38 per time performed $6,707.40
an average of $159.70 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician 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 imple ×

Service Code: G0180
Performed in an office
26
times performed,
0.42% of his services

21st Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$3,640.00an average of $140.00 per time performed $990.60
an average of $38.10 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
24
times performed,
0.38% of his services

22nd Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$3,189.12an average of $132.88 per time performed $2,570.40
an average of $107.10 per time performed
medical
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
24
times performed,
0.38% of his services

23rd Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$12,420.00an average of $517.50 per time performed $2,412.48
an average of $100.52 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient assisted living visit, typically 25 m... +

Established patient assisted living visit, typically 25 minutes ×

Service Code: 99335
Performed in an office
19
times performed,
0.3% of his services

24th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

16
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$3,386.94an average of $178.26 per time performed $1,357.36
an average of $71.44 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of tendon sheath, ligament, or muscle membrane +

Injections of tendon sheath, ligament, or muscle membrane ×

Service Code: 20550
Performed in an office
17
times performed,
0.27% of his services

25th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

11
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
$2,347.02an average of $138.06 per time performed $619.48
an average of $36.44 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
16
times performed,
0.26% of his services

26th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$352.00an average of $22.00 per time performed $68.64
an average of $4.29 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
14
times performed,
0.22% of his services

27th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$1,295.00an average of $92.50 per time performed $440.02
an average of $31.43 per time performed
medical
MEDICINE

Respiratory inhaled pressure or nonpressure treatment to ... +

Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen ×

Service Code: 94640
Performed in an office
14
times performed,
0.22% of his services

28th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

11
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
$692.02an average of $49.43 per time performed $157.22
an average of $11.23 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
12
times performed,
0.19% of his services

29th Alert

most performed service for this provider 5 or fewer providers in this specialty in GA perform this service

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$1,779.96an average of $148.33 per time performed $178.08
an average of $14.84 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.

This provider did not bill Medicare for any 5’s.

1234512345
Marcus L Simmons
Average for Internal Medicine Providers in Georgia

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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. 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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