Dr. John Simmons, MD
9330 Medical Plaza DR, North Charleston, SC 29406 • +1-777-555-8530
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & North Charleston Percentiles
NPI #1316444706 • CBSA Regional • Internal Medicine
Within the North Charleston, SC (CBSA local) Internal Medicine cohort, Dr. John Simmons, MD with sub-specialty concentration in 8 Active CMS HCPCS Codes ranks at the 33.33th municipal percentile and 19.32th SC percentile (-0.32σ Z-score) based on 848 billed procedures for 320 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Simmons (averaging 2.6 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (382 encounters), paired with 99213 (220x).
Self-pay new patient consultations with Dr. Simmons (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.84/5 modern protocol openness score across 20 patient logs.
Clinical background for Dr. Simmons (MD, NPI #1316444706) includes accredited doctoral training (2003, 23 yrs in practice) and virtual + in-office availability across SC.
Compared against North Charleston, SC Internal Medicine peers
848 annual services across 320 beneficiaries
Standard deviations from SC 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 | 382 | 33.33th | $147 – $202 |
| 99213 | Established Preventive & Chronic Care Visit | 220 | 34.33th | $113 – $155 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 110 | 30.33th | $54 – $74 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 85 | 28.33th | $173 – $237 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 51 | 31.33th | $205 – $281 |
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Dr. John Simmons, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simmons National Provider Identifier | NPI #1316444706 (MD) | CMS NPPES Registry (29406) |
| Dr. Simmons North Charleston CMS Volume Rank | 33.33th Pct (848 CMS svcs; Z -0.319σ) | CMS Medicare Part B (SC Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (North Charleston, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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