Medicare Facts for Dr. Scott W. Sims, MD


National Provider Identifier [NPI]: 1356346852
Last Name Of The Provider SIMS
First Name Of The Provider SCOTT
Middle Initial Of The Provider W
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 273 WINTON M BLOUNT LOOP
Street Address 2 Of The Provider
City Of The Provider MONTGOMERY
Zip Code Of The Provider 361173507
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 104
Number Of Services 11272
Number Of Medicare Beneficiaries 2231
Total Submitted Charge Amount 1654035.7
Total Medicare Allowed Amount 1006291.78
Total Medicare Payment Amount 745883.52
Total Medicare Standardized Payment Amount 829750.48
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 1157
Number Of Medicare Beneficiaries With Drug Services 292
Total Drug Submitted ChargeAmount 82242.7
Total Drug Medicare AllowedAmount 61001.78
Total Drug Medicare PaymentAmount 46059.89
Total Drug Medicare Standardized Payment Amount 46059.89
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 100
Number Of Medical Services 10115
Number Of Medicare Beneficiaries With Medical Services 2231
Total Medical Submitted Charge Amount 1571793
Total Medical Medicare Allowed Amount 945290
Total Medical Medicare Payment Amount 699823.63
Total Medical Medicare Standardized Payment Amount 783690.59
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 343
Number Of Beneficiaries Age 65 to 74 842
Number Of Beneficiaries Age 75 to 84 718
Number Of Beneficiaries Age Greater 84 328
Number Of Female Beneficiaries 1208
Number Of Male Beneficiaries 1023
Number Of Non Hispanic White Beneficiaries 1580
Number Of Black or African American Beneficiaries 624
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1871
Number Of Beneficiaries With Medicare Medicaid Entitlement 360
Percent Of With Atrial Fibrillation 24
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 18
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 71
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 66
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5605

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