Dr. Edward Simms, MD
3719 Dauphin St, Mobile, AL 36608 • +1-957-555-9545
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Mobile Percentiles
NPI #1104877174 • CBSA Regional • Emergency Medicine
Statistical peer benchmarking across AL Emergency Medicine providers positions Dr. Edward Simms, MD in Mobile at -0.12σ (26.67th city percentile / 26.83th state percentile, 410 Medicare beneficiaries), with clinical focus spanning 30 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1104877174 highlights 324 annual claims for 99214 (26.67th Mobile percentile; $158–$217 self-pay corridor) plus 187 encounters under 99213 and 94 under 93000.
At 3719 Dauphin St (36608), Dr. Edward Simms, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.82/5 bedside rating).
Credentialed as an MD specialist with 29 years post-graduation experience since completing medical school at an LCME/COCA institution (1997), Dr. Simms coordinates 30 Active CMS HCPCS Codes workups from 3719 Dauphin St (+1-957-555-9545).
Compared against Mobile, AL Emergency Medicine peers
721 annual services across 410 beneficiaries
Standard deviations from AL Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 324 | 26.67th | $158 – $217 |
| 99213 | Established Preventive & Chronic Care Visit | 187 | 26.67th | $121 – $166 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 94 | 24.67th | $58 – $79 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 72 | 23.67th | $186 – $254 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 43 | 24.67th | $220 – $301 |
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Dr. Edward Simms, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simms National Provider Identifier | NPI #1104877174 (MD) | CMS NPPES Registry (36608) |
| Dr. Simms Mobile CMS Volume Rank | 26.67th Pct (721 CMS svcs; Z -0.115σ) | CMS Medicare Part B (AL Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mobile, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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