PROVIDER PROFILE · NPI 1548497381

Benjamin SimmonsMD

PRACTICECAROLINAS PHYSICIANS NETWORK INCSee all providers at this practice →

Family PracticeMonroe, NCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

311

Unique beneficiaries

—

Total services

372

Distinct HCPCS

Medicare payment

$23K

Peer benchmark

Total Medicare services vs. 2,740 Family Practice providers in NC — below median (cohort median 664).

PRESCRIBING · PART D · 2024

Total Rx claims

2,073

Beneficiaries

—

Total drug cost

$185K

Distinct drugs

Brand share

19.1%

Top prescribed drugs

Atorvastatin Calcium176 claims

Amlodipine Besylate144 claims

Omeprazole93 claims

Metformin Hcl84 claims

Meloxicam82 claims

QUALITY · MIPS · 2024

Final MIPS score

94.0

Quality

81.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.80%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$15

Payment records

By payment type

Food and Beverage$15

REFERRAL NETWORK

Where Benjamin 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). 3 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ADAMS, CAROLINE	16	29
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY	15	30
ARMISTEAD, HAL	11	15

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history