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Dr. Ralph Edward Simms SR.

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NPI Number Detailed Information

Provider Information:

Name: Dr. Ralph Edward Simms SR.
Gender: M
Provider License Number If Given: 1206

NPI Information:

NPI: 1124146113
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/27/2007

Last Update Date: 7/18/2007

Reputation Report:

Provider Business Mailing Address:

Address: RT 1 BOX 85
Sandstone, WV 25985
Phone Number: 3049346400
Fax Number: 3049347400

Provider Business Practice Location Address:

Address: 6435 HARPER RD
Glen Daniel, WV 25844
Phone Number: 3049346400
Fax Number: 3049347400

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any): 208D00000X
State: WV

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About Dr. Ralph Edward Simms SR.

Dr. Ralph Edward Simms SR.(DR. RALPH EDWARD SIMMS SR.) is Family Family Medicine Physician in Glen Daniel, WV. The NPI Number for Dr. Ralph Edward Simms SR. is 1124146113.
The current location address for Dr. Ralph Edward Simms SR. is 6435 HARPER RD Glen Daniel, WV 25844 and the contact number is 3049346400 and fax number is 3049347400. The mailing address for Dr. Ralph Edward Simms SR. is RT 1 BOX 85 Sandstone, WV 25985- 3049346400 (mailing address contact number - 3049346400).
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. Ralph Edward Simms SR.?


Answer: The NPI Number for Dr. Ralph Edward Simms SR. is 1124146113

Where is Dr. Ralph Edward Simms SR. located?


Answer: Dr. Ralph Edward Simms SR. is located at 6435 HARPER RD Glen Daniel, WV 25844.

What is the specialty for Dr. Ralph Edward Simms SR.?


Answer: The Specialty of Dr. Ralph Edward Simms SR. is Family Family Medicine Physician.

Are there any online reviews for Dr. Ralph Edward Simms SR.?


Answer: Yes! Check It Now.

Are there any other health care providers in Glen Daniel, WV?


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. Ralph Edward Simms SR.

Number of HCPCS 44
Number of Medicare Beneficiaries 232
Number of Services 2480
Total Submitted Charge Amount 186075
Total Medicare Allowed Amount 133759.36
Total Medicare Payment Amount 90902.96
Total Medicare Standardized Payment Amount 96781.31
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 8
Number of Medicare Beneficiaries With Drug Services 79
Number of Drug Services 428
Total Drug Submitted Charge Amount 14960
Total Drug Medicare Allowed Amount 1713.93
Total Drug Medicare Payment Amount 1616.37
Total Drug Medicare Standardized Payment Amount 1587.62
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 36
Number of Medicare Beneficiaries With Medical 232
Number of Medical Services 2052
Total Medical Submitted Charge Amount 171115
Total Medical Medicare Allowed Amount 132045.43
Total Medical Medicare Payment Amount 89286.59
Total Medical Medicare Standardized Payment Amount 95193.69
Average Age of Beneficiaries 66
Number of Beneficiaries Age Less 65 75
Number of Beneficiaries Age 65 to 74 103
Number of Beneficiaries Age 75 to 84 43
Number of Beneficiaries Age Greater 84 11
Number of Female Beneficiaries 108
Number of Male Beneficiaries 124
Number of Non-Hispanic White Beneficiaries
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 89
Number of Beneficiaries With Medicare Only Entitlement 143
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.06
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.07
Percent (%) of Beneficiaries Identified With Heart Failure 0.16
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.23
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.19
Percent (%) of Beneficiaries Identified With Depression 0.28
Percent (%) of Beneficiaries Identified With Diabetes 0.28
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.7
Percent (%) of Beneficiaries Identified With Hypertension 0.69
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis 0.05
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.27
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1047

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 6868
Number of Standardized 30-Day Fills 9954.7333333
Aggregate Cost Paid for All Claims 347387.57
Number of Day's Supply for All Claims 288391
Number of Medicare Beneficiaries 266
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3942
Including Refills, for Beneficiaries Age 65+ 6414.4333333
Beneficiaries Age 65+ 184688.82
Number of Day's Supply for All Claims for Beneficaries Age 65+ 187793
Number of Medicare Beneficiaries Age 65+ 168
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 732
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 6084
Aggregate Cost Paid for Generic Drugs 97211.24
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 52
Aggregate Cost Paid for Other Drugs 2213.72
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 3526
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 174782.11
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3342
Aggregate Cost Paid for Claims Filled by 172605.46
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 4046
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 274510.19
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 2822
by Low-Income Subsidy 72877.38
Total Claims of Opioid Drugs, Including 563
Aggregate Cost Paid for Opioid Drugs 11558.49
Opioid Claims 74
Opioid_Tot_Clms divided by the Tot_Clms 8.1974373908
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 189
Aggregate Cost Paid for Antibiotic Drugs 2027.35
Antibiotic Claims 104
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 37
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 3599.44
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 65.120300752
Number of Beneficiaries Age Less Than 65 98
Number of Beneficiaries Age 65 to 74 110
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 129
Number of Male Beneficiaries 137
Number of Non-Hispanic White 258
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 155
Average Hierarchical Condition Category 1.0319390042

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