MATTHEW SIMS, M.D.
Urology Physician · GERMANTOWN, TN
Individual Active NPI 1184119455
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 353 | 9,622 | $867,789 | $288,492 | $227,427 |
| 2023 | 102 | 3,129 | $171,257 | $34,503 | $27,597 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 3,600 | $0 | $0 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 327 | $15 | $11 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 295 | $5 | $5 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 282 | $3 | $3 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 157 | $151 | $109 |
| 36415 | Insertion of needle into vein for collection of blood sample | 139 | $9 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 115 | $116 | $85 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 112 | $83 | $61 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 70 | $58 | $46 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 67 | $72 | $55 |
| 84153 | Psa (prostate specific antigen) measurement, total | 57 | $18 | $18 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 45 | $44 | $35 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 66909 | TN |
| Urology Physician | 208800000X | 30891 | MS |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in Tennessee
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- NPI 1992095541
- NPI 1306959861
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.