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PROVIDER PROFILE · NPI 1225023344

Michael SimmonsMD

PRACTICEMTN LAKE UROLOGY PCSee all providers at this practice →
UrologyGainesville, GAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 010061
Hospital
CCN 110029
Hospital
CCN 110054
Hospital
CCN 110229
Hospital
CCN 180102
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,960
Beneficiaries
—
Total drug cost
$339K
Distinct drugs
26
Brand share
30.2%
Top prescribed drugs
Tamsulosin Hcl546 claims
Finasteride319 claims
Mirabegron201 claims
Methenamine Hippurate131 claims
Sulfamethoxazole/Trimethoprim90 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,378
Unique beneficiaries
—
Total services
1,932
Distinct HCPCS
21
Medicare payment
$105K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 280 Urology providers in GA — above median (cohort median 2,681).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$201
Payment records
4
By payment type
Food and Beverage$201
REFERRAL NETWORK

Where Michael Simmons's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 24 inbound referrers · 46 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Christopher Green
Diagnostic Radiology · Huntsville, AL
173735
COOKSTON, MICHAEL80267
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
79177
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE51168
Rogelio Velez
Anesthesiology · Scottsboro, AL
44113
MILLS, ROBERT40148
Muhammad Ata
Internal Medicine · Pisgah, AL
28110
Carmelo Mendiola
Internal Medicine · Fort Payne, AL
26105
Charles Hood
Internal Medicine · Scottsboro, AL
2597
Daniel Mince
Internal Medicine · Fort Payne, AL
23179
SOLSTAS LAB PARTNERS GROUP LLC2273
Gabriel Belue
Family Practice · Birmingham, AL
20107
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
JACKSON COUNTY HEALTHCARE AUTHORITY3462,229
Christopher Green
Diagnostic Radiology · Huntsville, AL
123477
FORT PAYNE HOSPITAL CORPORATION87508
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
76174
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE60206
COOKSTON, MICHAEL60159
Rogelio Velez
Anesthesiology · Scottsboro, AL
56273
John Reichle
Diagnostic Radiology · Huntsville, AL
51198
Bradley Cochran
Diagnostic Radiology · Fort Payne, AL
40153
MILLS, ROBERT33136
Tanner Mattison
Pathology · Lewisville, TX
28125
Muhammad Ata
Internal Medicine · Pisgah, AL
2375
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.