Medicare Facts for Dr. Anthony Sims, DDS


National Provider Identifier [NPI]: 1992786636
Last Name Of The Provider SIMS
First Name Of The Provider ANTHONY
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 18324 ALABAMA HIGHWAY 75
Street Address 2 Of The Provider
City Of The Provider HENAGAR
Zip Code Of The Provider 35978
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 77
Number Of Services 11870
Number Of Medicare Beneficiaries 943
Total Submitted Charge Amount 443671
Total Medicare Allowed Amount 366813.05
Total Medicare Payment Amount 249389.44
Total Medicare Standardized Payment Amount 271225.76
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 17
Number Of Drug Services 5866
Number Of Medicare Beneficiaries With Drug Services 642
Total Drug Submitted ChargeAmount 50345
Total Drug Medicare AllowedAmount 32969.84
Total Drug Medicare PaymentAmount 27692.22
Total Drug Medicare Standardized Payment Amount 27692.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 60
Number Of Medical Services 6004
Number Of Medicare Beneficiaries With Medical Services 942
Total Medical Submitted Charge Amount 393326
Total Medical Medicare Allowed Amount 333843.21
Total Medical Medicare Payment Amount 221697.22
Total Medical Medicare Standardized Payment Amount 243533.54
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 176
Number Of Beneficiaries Age 65 to 74 429
Number Of Beneficiaries Age 75 to 84 262
Number Of Beneficiaries Age Greater 84 76
Number Of Female Beneficiaries 546
Number Of Male Beneficiaries 397
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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 790
Number Of Beneficiaries With Medicare Medicaid Entitlement 153
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 3
Percent Of With Cancer 7
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 11
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.9671

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