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Dr. Michael D Sims

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NPI Number Detailed Information

Provider Information:

Name: Dr. Michael D Sims
Gender: M
Provider License Number If Given: K3008

NPI Information:

NPI: 1336114313
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 2/22/2006

Last Update Date: 6/12/2018

Reputation Report:

Provider Business Mailing Address:

Address: 3400 W WHEATLAND RD PAV III STE#360
Dallas, TX 75237
Phone Number: 2148844700
Fax Number: 2148844749

Provider Business Practice Location Address:

Address: 4560 LAKE RIDGE PARKWAY SUITE 200
Grand Prairie, TX 75052
Phone Number: 9722635272
Fax Number: 9722633488

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: TX

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About Dr. Michael D Sims

Dr. Michael D Sims (DR. MICHAEL D SIMS ) is Family Family Medicine Physician in Grand Prairie, TX. The NPI Number for Dr. Michael D Sims is 1336114313.
The current location address for Dr. Michael D Sims is 4560 LAKE RIDGE PARKWAY SUITE 200 Grand Prairie, TX 75052 and the contact number is 2148844700 and fax number is 2148844749. The mailing address for Dr. Michael D Sims is 3400 W WHEATLAND RD PAV III STE#360 Dallas, TX 75237- 9722635272 (mailing address contact number - 2148844700).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Michael D Sims ?


Answer: The NPI Number for Dr. Michael D Sims is 1336114313

Where is Dr. Michael D Sims located?


Answer: Dr. Michael D Sims is located at 4560 LAKE RIDGE PARKWAY SUITE 200 Grand Prairie, TX 75052.

What is the specialty for Dr. Michael D Sims ?


Answer: The Specialty of Dr. Michael D Sims is Family Family Medicine Physician.

Are there any online reviews for Dr. Michael D Sims ?


Answer: Yes! Check It Now.

Are there any other health care providers in Grand Prairie, TX?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

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

Number of HCPCS 28
Number of Medicare Beneficiaries 97
Number of Services 488
Total Submitted Charge Amount 73788.95
Total Medicare Allowed Amount 38180.41
Total Medicare Payment Amount 27977.91
Total Medicare Standardized Payment Amount 27719.3
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 42
Number of Drug Services 50
Total Drug Submitted Charge Amount 5760
Total Drug Medicare Allowed Amount 4346.23
Total Drug Medicare Payment Amount 4346.23
Total Drug Medicare Standardized Payment Amount 4324.39
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 24
Number of Medicare Beneficiaries With Medical 97
Number of Medical Services 438
Total Medical Submitted Charge Amount 68028.95
Total Medical Medicare Allowed Amount 33834.18
Total Medical Medicare Payment Amount 23631.68
Total Medical Medicare Standardized Payment Amount 23394.91
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 78
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 39
Number of Male Beneficiaries 58
Number of Non-Hispanic White Beneficiaries 64
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 15
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.15
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.12
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.68
Percent (%) of Beneficiaries Identified With Hypertension 0.69
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.28
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.19
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7436

Medicare Part D Prescribers

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 1668
Number of Standardized 30-Day Fills 3960.4333333
Aggregate Cost Paid for All Claims 213876.7
Number of Day's Supply for All Claims 116873
Number of Medicare Beneficiaries 144
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1602
Including Refills, for Beneficiaries Age 65+ 3812.4333333
Beneficiaries Age 65+ 211594.11
Number of Day's Supply for All Claims for Beneficaries Age 65+ 112545
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 274
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1382
Aggregate Cost Paid for Generic Drugs 27436.85
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 12
Aggregate Cost Paid for Other Drugs 1483.95
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 855
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 86392.33
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 813
Aggregate Cost Paid for Claims Filled by 127484.37
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 51
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 10403.74
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1617
by Low-Income Subsidy 203472.96
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
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 21
Aggregate Cost Paid for Antibiotic Drugs 210.36
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 68.8125
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 52
Number of Male Beneficiaries 92
Number of Non-Hispanic White 86
Number of Black or African American 20
Number of Asian Pacific Islander 16
Number of Hispanic Beneficiaries 20
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.6728020833

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