Dr. Marcus Simmons, MD
5569 Houston Rd, Macon, GA 31216 • +1-786-555-7346
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Macon Percentiles
NPI #1770511180 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across GA Internal Medicine providers positions Dr. Marcus Simmons, MD in Macon at +0.32σ (84.62th city percentile / 95.4th state percentile, 816 Medicare beneficiaries), with clinical focus spanning 74 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Simmons (averaging 17.1 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 44% of tracked volume (6179 encounters), paired with 99213 (3570x).
For out-of-network patients contacting +1-786-555-7346, Dr. Simmons's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.67/5 composite reality score over 18 submissions).
Patients evaluating Dr. Marcus Simmons in ZIP 31216 note 16 years of post-doctoral tenure (null, 2010) alongside 17.1 annual CMS procedures per patient.
Compared against Macon, GA Internal Medicine peers
13,966 annual services across 816 beneficiaries
Standard deviations from GA Internal 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 | 6,179 | 84.62th | $94 – $128 |
| 99213 | Established Preventive & Chronic Care Visit | 3,570 | 83.62th | $72 – $98 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,785 | 81.62th | $34 – $49 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 1,373 | 79.62th | $110 – $150 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 824 | 79.62th | $130 – $178 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (74 HCPCS billing breadth) | 236 | 84.62th | $84 – $122 |
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Dr. Marcus Simmons, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simmons National Provider Identifier | NPI #1770511180 (MD) | CMS NPPES Registry (31216) |
| Dr. Simmons Macon CMS Volume Rank | 84.62th Pct (13,966 CMS svcs; Z +0.319σ) | CMS Medicare Part B (GA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Macon, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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