MATTHEW SIMS, MD
Infectious Disease Physician · ROYAL OAK, MI
Individual Active NPI 1205851730
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 151 | 272 | $67,810 | $36,198 | $27,970 |
| 2023 | 171 | 284 | $53,723 | $39,192 | $31,145 |
| 2022 | 209 | 307 | $63,387 | $45,911 | $36,312 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 108 | $117 | $92 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 78 | $175 | $136 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | $128 | $101 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | $72 | $58 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 14 | $185 | $126 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ✓ | 4301088222 | MI |
| Internal Medicine Physician | 207R00000X | 4301088222 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.