Dr. Allison Simms, DO
1645 S Main St Ste 101, Crossville, TN 38555 • +1-808-555-4487
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Crossville Percentiles
NPI #1801137633 • CBSA Regional • Family Practice
Statistical peer benchmarking across TN Family Practice providers positions Dr. Allison Simms, DO in Crossville at +0.60σ (72.73th city percentile / 89.01th state percentile, 676 Medicare beneficiaries), with clinical focus spanning 89 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Allison Simms (38555) place 99214 at the top of the practice ledger (3162 yearly units, 72.73th metro rank), rounded out by 99213 and G0439.
Direct cash-pay transparency modeling sets Dr. Simms's baseline new-consult rate near $201.00 in Crossville, TN (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
Clinical background for Dr. Simms (DO, NPI #1801137633) includes accredited doctoral training (2000, 26 yrs in practice) and virtual + in-office availability across TN.
Compared against Crossville, TN Family Practice peers
7,870 annual services across 676 beneficiaries
Standard deviations from TN Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 3,162 | 72.73th | $54 – $73 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 2,334 | 73.73th | $41 – $56 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 903 | 70.73th | $61 – $84 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 678 | 75.73th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 452 | 70.73th | $74 – $101 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (89 HCPCS billing breadth) | 342 | 72.73th | $48 – $70 |
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Dr. Allison Simms, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simms National Provider Identifier | NPI #1801137633 (DO) | CMS NPPES Registry (38555) |
| Dr. Simms Crossville CMS Volume Rank | 72.73th Pct (7,870 CMS svcs; Z +0.602σ) | CMS Medicare Part B (TN Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Crossville, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 13 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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