Physician

Agnes H Simmons, M. D.

According to 2025 Medicare claims, Agnes Simmons, M. D. (NPI: 1770650970) practices general practice in the Philadelphia, PA market, with the plurality of this provider's patient population coming from Philadelphia, PA. Simmons uses personal NPI as billing NPI and primary practice location at 19139-2906. Simmons is affiliated with the CareAllies Accountable Care Solutions, LLC (ACO ID: A5661), participating under the MSSP model.

Simmons' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 38 traditional Medicare patients, billed 130 HCPCS/CPT codes, and received $9,700 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,366 prescription claims across 246 beneficiaries totaling $273,614 in drug costs, led by Eliquis (Apixaban). DME data shows 11 claims. Open Payments data shows 2 records totaling $47. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and rose steadily, from $187 to $1,139.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	70	189	$13,422
2016	72	172	$11,959
2017	70	181	$12,185
2018	68	220	$14,761
2019	74	205	$13,385
2020	59	158	$9,239
2021	58	144	$10,497
2022	54	173	$12,691
2023	46	138	$9,532
2024	38	130	$9,700

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	318	5,319	$231,239
2016	317	5,192	$243,173
2017	309	5,405	$242,668
2018	330	5,006	$263,085
2019	324	4,414	$253,082
2020	336	4,235	$300,932
2021	287	3,289	$249,388
2022	277	3,346	$273,545
2023	262	3,523	$336,106
2024	246	3,366	$273,614

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	11	$375
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	24	$1,200
2023	556	560	$2,564,806
2024	N/R	11	$143

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	44	$95
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	31	78	$64

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	64	3,150	$60,361
Januvia	Sitagliptin Phosphate	44	3,390	$58,240
Jardiance	Empagliflozin	16	1,080	$20,770
Ozempic	Semaglutide	13	644	$18,662
Xarelto	Rivaroxaban	15	772	$15,214

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	11	$143

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$47	Exact Sciences Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

General practice providers in the Philadelphia, PA market
Providers within practice ZIP code 19139-2906
Providers whose plurality patient county is Philadelphia, PA
Providers in Pennsylvania affiliated with CareAllies Accountable Care Solutions, LLC (MSSP)

FAQ

What Medicare data is available for Agnes H. Simmons, M. D.?

Tedicare shows public-source Medicare data for Agnes H. Simmons, M. D. (NPI 1770650970), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Agnes H. Simmons, M. D. have ACO affiliation data?

Agnes H. Simmons, M. D. is shown with ACO affiliation data for CareAllies Accountable Care Solutions, LLC (MSSP, ACO ID A5661).

What billing organization is linked to Agnes H. Simmons, M. D.?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Agnes H. Simmons, M. D. have Open Payments data?

Agnes H. Simmons, M. D. has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.