WILLIAM SIMA, MD INC
Orthopaedic Surgery Physician · TEMPLETON, CA
Individual Active NPI 1770505505
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 522 | 2,755 | $933,991 | $359,426 | $272,149 |
| 2023 | 572 | 4,147 | $1,174,439 | $466,304 | $357,396 |
| 2022 | 538 | 5,943 | $1,322,877 | $496,741 | $386,185 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 638 | $126 | $91 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 256 | $0 | $0 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 212 | $101 | $79 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 188 | $163 | $119 |
| 73564 | X-ray of knee, 4 or more views | 186 | $49 | $38 |
| 20610 | Aspiration and/or injection of fluid from large joint | 177 | $63 | $45 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 168 | $89 | $64 |
| 73502 | X-ray of hip, 2-3 views | 124 | $49 | $37 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 81 | $53 | $42 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 77 | $123 | $96 |
| 13122 | Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less | 77 | $77 | $60 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 69 | $97 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | G58221 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Surgery Physician providers in California
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- NPI 1497751804
- NPI 1679738504
See all Orthopaedic Surgery Physician providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.