Sims, Scott

Sims, Scott was paid $197K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.

33Billing provider infoSIMS, SCOTT
LOMBARD, IL 60148

33aNPI1194797902assigned 02/06/2006

33bProvider typeEmergency Medicine Physician

28Total paid$197K

24GClaims3,881

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#787 of 1,980

Median peer was paid$150K

This provider vs. median1.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	402	$14K
2019	514	$19K
2020	591	$27K
2021	571	$28K
2022	638	$30K
2023	724	$47K
2024incomplete	441	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	52%	1,744	1,618	$102K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	26%	603	559	$50K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	21%	1,155	1,068	$41K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.7%	379	341	$3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.