Medicare Facts for Dr. Stephen L. Sims, DMD


National Provider Identifier [NPI]: 1568453264
Last Name Of The Provider SIMS
First Name Of The Provider STEPHEN
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 877 W FREMONT AVE
Street Address 2 Of The Provider STE B2
City Of The Provider SUNNYVALE
Zip Code Of The Provider 940872319
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 61
Number Of Services 2260
Number Of Medicare Beneficiaries 324
Total Submitted Charge Amount 392890
Total Medicare Allowed Amount 193807.17
Total Medicare Payment Amount 151933.17
Total Medicare Standardized Payment Amount 127969.83
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 277
Number Of Medicare Beneficiaries With Drug Services 209
Total Drug Submitted ChargeAmount 32400
Total Drug Medicare AllowedAmount 16121.04
Total Drug Medicare PaymentAmount 15797.57
Total Drug Medicare Standardized Payment Amount 15797.57
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 53
Number Of Medical Services 1983
Number Of Medicare Beneficiaries With Medical Services 324
Total Medical Submitted Charge Amount 360490
Total Medical Medicare Allowed Amount 177686.13
Total Medical Medicare Payment Amount 136135.6
Total Medical Medicare Standardized Payment Amount 112172.26
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 151
Number Of Beneficiaries Age 75 to 84 104
Number Of Beneficiaries Age Greater 84 48
Number Of Female Beneficiaries 157
Number Of Male Beneficiaries 167
Number Of Non Hispanic White Beneficiaries 242
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 41
Number Of Hispanic Beneficiaries 25
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 303
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 4
Percent Of With Cancer 12
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 5
Percent Of With Depression 7
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 17
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9327

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