Marcus L. Sims

Marcus L. Sims ( MARCUS L. SIMS ) is Family Family Medicine Physician in Ozona, TX. The NPI Number for Marcus L. Sims is 1760482905.

The current location address for Marcus L. Sims is 104 NORTH AVENUE H Ozona, TX 76943 and the contact number is 3254812124 and fax number is 3256590180. The mailing address for Marcus L. Sims is PO BOX 22000 San Angelo, TX 76902- 3253923788 (mailing address contact number - 3254812124).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

What is the NPI Number for Marcus L. Sims ?

Answer: The NPI Number for Marcus L. Sims is 1760482905

Where is Marcus L. Sims located?

Answer: Marcus L. Sims is located at 104 NORTH AVENUE H Ozona, TX 76943.

What is the specialty for Marcus L. Sims ?

Answer: The Specialty of Marcus L. Sims is Family Family Medicine Physician.

Are there any online reviews for Marcus L. Sims ?

Answer: Yes! Check It Now.

Are there any other health care providers in Ozona, TX?

Answer: Yes, there are given below...

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Marcus L. Sims

Number of HCPCS	62
Number of Medicare Beneficiaries	313
Number of Services	1727
Total Submitted Charge Amount	80476.4
Total Medicare Allowed Amount	20774.02
Total Medicare Payment Amount	19226.5
Total Medicare Standardized Payment Amount	19135.49
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	13
Number of Medicare Beneficiaries With Drug Services	21
Number of Drug Services	175
Total Drug Submitted Charge Amount	1425.4
Total Drug Medicare Allowed Amount	337.21
Total Drug Medicare Payment Amount	259.85
Total Drug Medicare Standardized Payment Amount	254.61
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	49
Number of Medicare Beneficiaries With Medical	313
Number of Medical Services	1552
Total Medical Submitted Charge Amount	79051
Total Medical Medicare Allowed Amount	20436.81
Total Medical Medicare Payment Amount	18966.65
Total Medical Medicare Standardized Payment Amount	18880.88
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	12
Number of Beneficiaries Age 65 to 74	169
Number of Beneficiaries Age 75 to 84	97
Number of Beneficiaries Age Greater 84	35
Number of Female Beneficiaries	172
Number of Male Beneficiaries	141
Number of Non-Hispanic White Beneficiaries	179
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	66
Number of Beneficiaries With Medicare Only Entitlement	247
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.06
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.12
Percent (%) of Beneficiaries Identified With Asthma	0.04
Percent (%) of Beneficiaries Identified With Cancer	0.06
Percent (%) of Beneficiaries Identified With Heart Failure	0.21
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.08
Percent (%) of Beneficiaries Identified With Depression	0.1
Percent (%) of Beneficiaries Identified With Diabetes	0.35
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.43
Percent (%) of Beneficiaries Identified With Hypertension	0.67
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.24
Percent (%) of Beneficiaries Identified With Osteoporosis	0.06
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.04
Average HCC Risk Score of Beneficiaries	1.064

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	13299
Number of Standardized 30-Day Fills	17229
Aggregate Cost Paid for All Claims	674508.09
Number of Day's Supply for All Claims	491307
Number of Medicare Beneficiaries	476
Number of Claims, Including Refills, for Beneficiaries Age 65+	12429
Including Refills, for Beneficiaries Age 65+	16049.166667
Beneficiaries Age 65+	604413.53
Number of Day's Supply for All Claims for Beneficaries Age 65+	458808
Number of Medicare Beneficiaries Age 65+	443
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	1872
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	11367
Aggregate Cost Paid for Generic Drugs	156450.61
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	60
Aggregate Cost Paid for Other Drugs	4259.87
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	3359
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	188658.94
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	9940
Aggregate Cost Paid for Claims Filled by	485849.15
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	4871
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	305510.85
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	8428
by Low-Income Subsidy	368997.24
Total Claims of Opioid Drugs, Including	454
Aggregate Cost Paid for Opioid Drugs	3436.96
Opioid Claims	122
Opioid_Tot_Clms divided by the Tot_Clms	3.4137905106
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	301
Aggregate Cost Paid for Antibiotic Drugs	40042.42
Antibiotic Claims	170
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	69
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	48840.04
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	73.861344538
Number of Beneficiaries Age Less Than 65	33
Number of Beneficiaries Age 65 to 74	230
Number of Beneficiaries Age 75 to 84	162
Number of Female Beneficiaries	274
Number of Male Beneficiaries	202
Number of Non-Hispanic White	264
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	202
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	379
Average Hierarchical Condition Category	1.0410647115