Clifford W Sims MD PC

Clifford W Sims MD PC was paid $160K by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 78% of everything it billed.

33Billing provider infoCLIFFORD W SIMS MD PC
MEMPHIS, TN 38104

33aNPI1205021227assigned 09/12/2007

33bProvider typeOphthalmology Physician

28Total paid$160K

24GClaims4,563

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Tennessee

Rank by total paid#27 of 114

Median peer was paid$15K

This provider vs. median11×

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	579	$17K
2019	591	$21K
2020	585	$18K
2021	909	$39K
2022	675	$24K
2023	726	$25K
2024incomplete	498	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	78%	4,024	3,482	$126K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	22%	539	487	$34K

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.

From NPPES

Who's on the registration

Authorized officialSIMS, CLIFFORD (PRESIDENT)