Dr. Kathleen Simmons, DO
100 Michigan St Ne, A721, Grand Rapids, MI 49503 • +1-366-555-1380
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Grand Rapids Percentiles
NPI #1043503519 • CBSA Regional • Internal Medicine
Anchored in Grand Rapids, MI 49503, Dr. Kathleen Simmons, DO (NPI 1043503519) logged 1,082 annual procedures (mid-cohort balanced caseload (42.86th Grand Rapids percentile), 41.3th MI percentile, -0.18σ) with sub-specialty concentration in 5 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1043503519 highlights 487 annual claims for 99214 (42.86th Grand Rapids percentile; $139–$190 self-pay corridor) plus 281 encounters under 99213 and 141 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Kathleen Simmons in Grand Rapids (49503) face an estimated $209.00 initial evaluation fee at 100 Michigan St Ne, A721 (hybrid in-clinic and telehealth video consults; 12-minute average reception wait; bedside manner 4.69/5 from 22 verified reports).
From 100 Michigan St Ne, A721 in Grand Rapids (+1-366-555-1380), Dr. Simmons, DO (21-year clinical track record) delivers 5 Active CMS HCPCS Codes care.
Compared against Grand Rapids, MI Internal Medicine peers
1,082 annual services across 64 beneficiaries
Standard deviations from MI 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 | 487 | 42.86th | $139 – $190 |
| 99213 | Established Preventive & Chronic Care Visit | 281 | 40.86th | $106 – $146 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 141 | 40.86th | $51 – $70 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 108 | 42.86th | $163 – $224 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 65 | 44.86th | $193 – $265 |
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Dr. Kathleen Simmons, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simmons National Provider Identifier | NPI #1043503519 (DO) | CMS NPPES Registry (49503) |
| Dr. Simmons Grand Rapids CMS Volume Rank | 42.86th Pct (1,082 CMS svcs; Z -0.180σ) | CMS Medicare Part B (MI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Grand Rapids, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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