Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA NPI deactivated

Sims, Jan

Sims, Jan was paid $18K by Medicaid between Jan 2018 and Nov 2018, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoSIMS, JAN
DYERSBURG, TN 38024
33aNPI1205832920assigned 06/27/2005
28Total paid$18K
24GClaims742
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#326 of 687
Median peer was paid$15K
This provider vs. median1.2×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018742$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62% 331 269 $11K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17% 62 54 $3K
80306 10% 179 147 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5.3% 52 43 $947.50
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 2.8% 18 16 $499.46
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1.7% 15 12 $302.37
36415 Collection of venous blood by venipuncture <1% 52 43 $67.75
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 15 14 $28.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 18 17 $8.35

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.